Individual
PATTY ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3438 PA-764, DUNCANSVILLE, PA 16635
(814) 944-7000
(814) 944-5071
Mailing address
PO BOX 227, ROARING SPRING, PA 16673-0227
(814) 944-7000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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