Individual
KRISTIN WILMOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 HARRY HINES BLVD., DALLAS, TX 75390
(214) 648-3111
Mailing address
5323 HARRY HINES BLVD., DALLAS, TX 75390
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
10/05/2020
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