Individual
MRS. MARY JO WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N,,M.S.N.,C.S.-P.
Contact information
Practice address
7257 HANOVER PKWY STE C, GREENBELT, MD 20770-3612
(301) 474-1679
(301) 231-0716
Mailing address
7257 HANOVER PKWY STE C, GREENBELT, MD 20770-3612
(301) 474-1679
(301) 231-0716
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R034710
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R034710
REGISTERED NURSE APRN PMH
MD
Enumeration date
05/15/2007
Last updated
07/08/2007
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