Individual
MS. DIANE E. WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
331 SHAW AVE, MCKEESPORT, PA 15132-2918
(412) 675-8475
Mailing address
6500 BEATTY DR, APT. Q201, IRWIN, PA 15642-4055
(412) 867-5008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC003661
PA
Other
Enumeration date
06/15/2006
Last updated
07/21/2022
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