Individual
AMY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31320 INTERSTATE 10 W, SUITE E, BOERNE, TX 78006-5027
(210) 564-4310
(830) 775-2369
Mailing address
31320 INTERSTATE 10 W, SUITE E, BOERNE, TX 78006-5027
(210) 564-4310
(830) 775-2369
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
70073
TX
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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