Individual
CARLY N WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 SE BARRINGTON DR STE 203, OAK HARBOR, WA 98277-3200
(360) 240-0022
Mailing address
1014 23RD ST, BELLINGHAM, WA 98225-6832
(360) 791-9942
(360) 791-9942
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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