Individual
DR. KACEY JO WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
100 EUROPA DR, SUITE 260, CHAPEL HILL, NC 27517-2357
(919) 929-1227
(919) 968-2575
Mailing address
100 EUROPA DR, SUITE 260, CHAPEL HILL, NC 27517-2357
(919) 929-1227
(919) 968-2575
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1608
AL
103T00000X
Psychologist
Primary
4070
NC
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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