Individual
AIMEE M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4061 SUZANNE DR, SUITE C & C, DIBERVILLE, MS 39540-3735
(228) 396-4434
Mailing address
704 DOGWOOD DR, LONG BEACH, MS 39560-3805
(228) 806-9936
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
48833
MS
Other
Enumeration date
12/07/2007
Last updated
01/06/2014
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