Individual
PAMELA ADRIENNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 S. IRWIN ROAD, HOLLAND, OH 43528
(567) 703-9064
Mailing address
350 S. IRWIN ROAD, HOLLAND, OH 43528
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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