Individual
AMANDA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., NCSP
Contact information
Practice address
1400 17TH ST, WINDOM, MN 56101-1147
(507) 831-6910
Mailing address
1400 17TH ST, WINDOM, MN 56101-1147
(507) 831-6910
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2040933
MN
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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