Individual
CARLEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 W JOHNSON DR, TERRE HAUTE, IN 47802-5508
(812) 233-8833
Mailing address
1050 W JOHNSON DR, TERRE HAUTE, IN 47802-5508
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-391135
IN
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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