Individual
ALORA ELIZABETH WILSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4861 WILLIAMS DR STE 101, GEORGETOWN, TX 78633-2425
(737) 295-4536
Mailing address
3403 SANALOMA DR, GEORGETOWN, TX 78628-1759
(512) 639-1468
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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