Individual
MRS. JAMIE DAWN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3759BUSINESS 220 N, SUITE 101, BEDFORD, PA 15522
(814) 623-1212
Mailing address
3759 BUSINESS 220 STE 101, BEDFORD, PA 15522-1130
(814) 623-1212
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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