Individual
LINETTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11225 N 28TH DR STE 104, PHOENIX, AZ 85029-5606
(952) 242-8381
Mailing address
11225 N 28TH DR STE 104, PHOENIX, AZ 85029-5606
(952) 242-8381
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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