Individual
MS. ALEXANDRA MAE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
588 PHILLIPS RD, SELMA, NC 27576-6313
(919) 280-5078
Mailing address
588 PHILLIPS RD, SELMA, NC 27576-6313
(919) 280-5078
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
08/06/2024
Last updated
10/03/2024
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