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Individual

EMMA HIATT WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1115 LEIGHTON AVE STE 1A, ANNISTON, AL 36207-4610
(256) 238-8113
(256) 238-8955
Mailing address
1115 LEIGHTON AVE STE 1A, ANNISTON, AL 36207-4610
(256) 238-8113
(256) 238-8955

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2115
AL
103T00000X
Psychologist
PSY27574
CA
1041C0700X
Clinical Social Worker

Other

Enumeration date
06/19/2007
Last updated
01/17/2021
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