Individual
KATHARINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 DARES BEACH RD, PRINCE FREDERICK, MD 20678-4208
(443) 550-8345
Mailing address
PO BOX 1193, PRINCE FREDERICK, MD 20678-1193
(443) 532-2943
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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