Individual
ALECYA D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
(414) 967-7012
Mailing address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19829-130
WI
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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