Individual
MONIQUE M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5502 E 16TH ST, INDIANAPOLIS, IN 46218-4937
(317) 355-1800
Mailing address
6950 HILLSDALE CT, CAROL GORBETT, INDIANAPOLIS, IN 46250-2040
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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