Individual
RENEE ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
401 HAMBURG TPKE, STE. 303, WAYNE, NJ 07470
(973) 790-9222
(973) 790-0671
Mailing address
401 HAMBURG TPKE, STE. 303, WAYNE, NJ 07470
(973) 790-9222
(973) 790-0671
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35S100472700
NJ
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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