Individual
MS. AMY ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5511 NW 37TH ST, WARR ACRES, OK 73122-2210
(405) 603-2047
Mailing address
5511 NW 37TH ST, WARR ACRES, OK 73122-2210
(405) 603-2047
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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