Carolyn Wilson

NPI #1942726310 in Dewitt, Michigan

Provider Information

NPI Number: 1942726310
Entity Type: Individual
Name: Carolyn Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 17, 2017
Last Updated: Aug 17, 2017

Practice Location

Address: 11373 S US HIGHWAY 27
City: Dewitt
State: Michigan
ZIP Code: 48820-7412
Phone: (517) 896-6743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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