Individual
SHEILA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5651 ALENLON WAY, MOUNT DORA, FL 32757-8041
(410) 507-6854
Mailing address
105 ROTH CT, FORT KNOX, KY 40121-3507
(410) 507-6854
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MCAP.0101036
FL
164W00000X
Licensed Practical Nurse
PN5206429
FL
Other
Enumeration date
02/05/2015
Last updated
05/28/2025
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