Individual
AZURE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 WEYMOUTH RD, BUENA, NJ 08310-1623
(609) 267-5928
Mailing address
770 WOODLANE ROAD, MT. HOLLY, NJ 08060
(609) 267-5928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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