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ANIKA TRESA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
35 W 128TH ST APT 1, NEW YORK, NY 10027-3112
(914) 525-9979
Mailing address
35 W 128TH ST APT 1, NEW YORK, NY 10027-3112
(914) 525-9979

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
112987
NY

Other

Enumeration date
06/27/2024
Last updated
06/27/2024
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