Individual
REBECCA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-6837
Mailing address
13123 EAST 16TH AVE, AURORA, CO 80045
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2343
CO
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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