Individual
ASHLEY MARTING WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 406-5723
Mailing address
150 MEDICAL DR, HANNIBAL, MO 63401-6877
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010019102
MO
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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