Individual
DR. TEQUILLA JANE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D
Contact information
Practice address
726 REDWING PLACE DR, HOUSTON, TX 77009-2472
(713) 868-9537
Mailing address
726 REDWING PLACE DR, HOUSTON, TX 77009-2472
(713) 868-9537
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32060
TX
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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