Individual
ASHDON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QBHP
Contact information
Practice address
2199 HARRISON ST, BATESVILLE, AR 72501-7416
(870) 793-6774
(870) 793-1997
Mailing address
2199 HARRISON ST, BATESVILLE, AR 72501-7416
(870) 793-6774
(870) 793-1997
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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