Individual
WENDY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 NE ROCKWELL DR, ESTACADA, OR 97023-7615
(971) 271-4231
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/12/2020
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