Individual
MRS. AMIE LEE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
6211 N STRATHBURY AVE, KANSAS CITY, MO 64151-4761
(816) 739-9877
Mailing address
6211 N STRATHBURY AVE, KANSAS CITY, MO 64151-4761
(816) 739-9877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2006005726
MO
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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