Individual
MS. ANTOINETTE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6363 W AIRPORT BLVD APT 224, HOUSTON, TX 77035-6620
(312) 897-8764
Mailing address
6363 W AIRPORT BLVD APT 224, HOUSTON, TX 77035-6620
(312) 897-8764
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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