Individual
ANNMARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2479 ALOMA AVE, WINTER PARK, FL 32792-2541
(407) 614-7813
Mailing address
2479 ALOMA AVE, WINTER PARK, FL 32792-2541
(407) 614-7813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH 15208
FL
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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