Individual
MISS CHRISTINA YEVETTE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1940 MARAVILLA AVE, FORT MYERS, FL 33901-7135
(239) 334-0222
(239) 334-0244
Mailing address
1917 KNIGHT ST, FORT MYERS, FL 33916-2709
(240) 291-6311
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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