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Individual
DR. KRISTEN A WILSON
Active
Individual
DR. KRISTEN A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1723
KY
103T00000X
Psychologist
6925
OH
103TB0200X
Cognitive & Behavioral Psychologist
1723
KY
103TC0700X
Clinical Psychologist
1723
KY
103TC2200X
Clinical Child & Adolescent Psychologist
1723
KY
103TF0000X
Family Psychologist
1723
KY
103TP2701X
Group Psychotherapy Psychologist
1723
KY
Other
Enumeration date
11/09/2010
Last updated
04/01/2013
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