Individual
JESSICA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 MAIN ST, WINDSOR, VT 05089-1338
(802) 238-8003
Mailing address
147 MAIN ST, WINDSOR, VT 05089-1338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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