Individual
TASHA MARIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 WASHINGTON AVE APT 1221, TOWSON, MD 21204-4727
(443) 908-9681
Mailing address
212 WASHINGTON AVE APT 1221, TOWSON, MD 21204-4727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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