Individual
KAROLINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2127 14TH AVE S, BIRMINGHAM, AL 35205-3900
(205) 575-8216
Mailing address
2127 14TH AVE S, BIRMINGHAM, AL 35205-3900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AL
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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