Shantia Marie Wilson
NPI #1407289507 in Burlington, New Jersey
Provider Information
- NPI Number
- 1407289507
- Entity Type
- Individual
- Name
- Shantia Marie Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Aug 13, 2013
- Last Updated
- Aug 13, 2013
Practice Location
- Address
- 60 CATHY LN
- City
- Burlington
- State
- New Jersey
- ZIP Code
- 08016-9727
- Phone
- (609) 499-0603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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