Individual
VICTORIA LEEANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 RANSOM PL, NASHVILLE, TN 37217-3841
(931) 952-2951
Mailing address
2344 GRAVETT ST, MURFREESBORO, TN 37129-3798
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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