Individual
SHIRLEY H WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
1131 AIRPORT RD., SUITE 5, MILFORD, DE 19963
(302) 422-8026
(302) 422-0701
Mailing address
1131 AIRPORT RD., MILFORD, DE 19963
(302) 422-8026
(302) 422-0701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC0000297
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000025946
—
DE
01
—
370243
TRICARE PIN
DE
Enumeration date
03/20/2007
Last updated
04/02/2009
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