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Individual

DR. MICHELLE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
3900 CLARK RD STE P1, SARASOTA, FL 34233-2379
(941) 525-8497
Mailing address
3900 CLARK RD STE P1, SARASOTA, FL 34233-2379
(941) 525-8497

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071009690
IL
103TC0700X
Clinical Psychologist
Primary
PY10043
FL

Other

Enumeration date
11/16/2020
Last updated
11/16/2020
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