Patricia Wilson

NPI #1477092724 in Tucker, Georgia

Provider Information

NPI Number: 1477092724
Entity Type: Individual
Name: Patricia Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 20, 2017
Last Updated: Feb 20, 2017

Practice Location

Address: 3547 HABERSHAM AT NORTHLAKE
Address 2: BUILDING F
City: Tucker
State: Georgia
ZIP Code: 30084-4001
Phone: (678) 406-9707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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