Individual
DONNA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 - 4TH ST. N., #327, ST. PETE, FL 33702
(727) 374-0108
(727) 374-0108
Mailing address
7901 - 4TH ST. N., #327, ST. PETE, FL 33702
(727) 374-0108
(727) 374-0108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SW004971
FL
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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