Individual
MRS. KATHLEEN HILL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
175 N MILL TRACE DR, THE WOODLANDS, TX 77381-3837
(832) 444-5630
Mailing address
175 N MILL TRACE DR, THE WOODLANDS, TX 77381-3837
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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