Organization
BETH WILSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE SYDNOR LCP (OWNER)
(423) 967-9951
Entity
Organization
Contact information
Practice address
606 S MARKET ST, SALEM, VA 24153-5012
(423) 967-9951
Mailing address
606 S MARKET ST, SALEM, VA 24153-5012
(423) 967-9951
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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