Individual
CYNTHIA PRETRICE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 DIBBLE ST, TUSKEGEE, AL 36083-1509
(334) 947-5901
Mailing address
2261 SEMMES DR, MONTGOMERY, AL 36106-3401
(334) 391-7225
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALCO3355
AL
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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