Individual
PORSCHA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5451 HAMPTON PL, SAGINAW, MI 48604-9284
(989) 412-4410
Mailing address
5451 HAMPTON PL, SAGINAW, MI 48604-9284
(989) 412-4410
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
7402000187
MI
Other
Enumeration date
12/27/2017
Last updated
04/02/2024
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