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Individual

KARYNE BETH WILNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1601 WALNUT STREET, SUITE 1017 MEDICAL ARTS BLDG, PHILADELPHIA, PA 19102
(215) 665-0705
(401) 751-8997
Mailing address
49 EMELINE STREET, PROVIDENCE, RI 02906
(401) 274-3512
(401) 751-8997

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS0045841L
PA
103TC0700X
Clinical Psychologist
PS00923
RI

Other

Enumeration date
06/01/2006
Last updated
07/08/2007
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