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Individual

DR. JOHN WESLEY WILSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
3115 ROSWELL RD, SUITE 201, MARIETTA, GA 30062-7605
(404) 246-1257
Mailing address
1815 ANNWICKS DR, MARIETTA, GA 30062-5407
(404) 246-1257

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003201
GA

Other

Enumeration date
07/31/2008
Last updated
08/01/2008
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