Individual
LAMESHA COLLETTE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 RED FOX LN, DENTON, TX 76210-1532
(940) 206-3743
Mailing address
201 RED FOX LN, DENTON, TX 76210-1532
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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