Individual
CHRISTI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 MCINTIRE RD, CHARLOTTESVILLE, VA 22902-4579
(434) 296-5885
Mailing address
401 MCINTIRE RD, CHARLOTTESVILLE, VA 22902-4579
(434) 296-5885
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0813000081
VA
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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