Individual
KAYLA V WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8035 E R L THORNTON FWY STE 242, DALLAS, TX 75228-7082
(469) 984-6563
Mailing address
8035 E R L THORNTON FWY STE 242, DALLAS, TX 75228-7082
(469) 984-6563
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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