Individual
QUEEN VALENCIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1088 ROGERS RD, CORDOVA, TN 38018-8546
(901) 755-1396
Mailing address
3763 BELLEAU ST, MEMPHIS, TN 38127-4419
(901) 319-6714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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