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Individual

MS. HEATHER E WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2185 NORMANDIE DR, MONTGOMERY, AL 36111-2728
(334) 202-4638
Mailing address
5451 ABLE CT, MOBILE, AL 36693-3100
(251) 410-0160

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
2020-033
AL

Other

Enumeration date
06/19/2019
Last updated
09/08/2020
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