Individual
MRS. DEBORAH J WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2818 STEPHENS HWY, MOUNT HOLLY, AR 71758-6095
(870) 554-3122
Mailing address
2818 STEPHENS HWY, MOUNT HOLLY, AR 71758-6095
(870) 554-3122
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LPE 93-04I
AR
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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