Individual
MS. KATHLEEN A WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 241-1813
Mailing address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 241-1813
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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