Individual
MICHELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10917 Y ST, OMAHA, NE 68137-4610
(402) 706-9623
Mailing address
204 GALVIN RD N, BELLEVUE, NE 68005-4899
(402) 415-6514
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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