Individual
KAR WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 CARSON ST, PAWTUCKET, RI 02860-3621
(646) 707-7035
Mailing address
15 CARSON ST, PAWTUCKET, RI 02860-3621
(646) 707-7035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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