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Individual

MRS. KRISTEN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 PEARMAN DAIRY RD, ANDERSON, SC 29625-3100
(864) 260-5000
Mailing address
117 RIDGEWAY TRL, ANDERSON, SC 29621-2671
(864) 704-8822

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4600
SC

Other

Enumeration date
03/10/2014
Last updated
03/10/2014
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