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Individual

DR. JAIME A B WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D., ABPP, MSCP

Contact information

Practice address
1117 A ST, TACOMA, WA 98402-5003
(360) 339-7752
Mailing address
1117 A ST, TACOMA, WA 98402-5003
(360) 339-7752

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103TC0700X
Clinical Psychologist
PSYC.PY.60074792
WA
103TP0016X
Prescribing (Medical) Psychologist
Primary
ID

Other

Enumeration date
09/12/2007
Last updated
02/09/2023
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