Individual
MR. HENRY A WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
4720 SALISBURY RD, JACKSONVILLE, FL 32256-6101
(904) 608-9881
Mailing address
32258 BASILHAM LN, JACKSONVILLE, FL 32258-4444
(413) 557-8344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
11/19/2014
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