Individual
NORA A WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 E CENTRAL AVE, WICHITA, KS 67214-4165
(316) 316-2472
(316) 352-9315
Mailing address
1650 E CENTRAL AVE, WICHITA, KS 67214-4165
(316) 316-2472
(316) 352-9315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
000000
KS
Other
Enumeration date
01/16/2019
Last updated
03/27/2023
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