Individual
DEASIA LATRICE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 N GILMOR ST, BALTIMORE, MD 21217-2331
(000) 000-0000
Mailing address
1311 N GILMOR ST, BALTIMORE, MD 21217-2331
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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