Individual
JA'WANA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
447 TENNESSEE AVE NE, WASHINGTON, DC 20002-5433
(202) 996-5435
Mailing address
3350 TOLEDO TER APT 124, HYATTSVILLE, MD 20782-1387
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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