Individual
WANDA M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., CCDP
Contact information
Practice address
2814 W 2ND ST, WILMINGTON, DE 19805-1807
(302) 472-0381
(302) 472-0392
Mailing address
2500 W 4TH ST, 2ND FLOOR (SUITE B), WILMINGTON, DE 19805-3367
(302) 472-0381
(302) 472-0392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000039447
—
DE
Enumeration date
01/25/2007
Last updated
10/01/2014
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