Individual
MRS. JULIE L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
3603 N 7TH AVE, PHOENIX, AZ 85013-3638
(602) 234-1935
Mailing address
6413 S 69TH GLN, LAVEEN, AZ 85339-2697
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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