Individual
ANDREA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NORTH WASHINGTON ST., STATION 14, LIVINGSTON, AL 35470
(205) 652-3714
(205) 652-3799
Mailing address
100 NORTH WASHINGTON ST., STATION 14, LIVINGSTON, AL 35470
(205) 652-3714
(205) 652-3799
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1811
AL
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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