Individual
MS. REGINA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CAP
Contact information
Practice address
701 LINCOLN RD, SUITE 200, MIAMI BEACH, FL 33139-2879
(305) 531-5341
(305) 532-5322
Mailing address
701 LINCOLN RD, SUITE 200, MIAMI BEACH, FL 33139-2879
(305) 531-5341
(305) 532-5322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
07/09/2007
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