Individual
DR. PRISCILLA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4501 CIRCLE 75 PKWY SE, BLDG E, SUITE 5100, ATLANTA, GA 30339-3025
(770) 956-9212
(770) 956-9218
Mailing address
4501 CIRCLE 75 PKWY SE, BLDG E, SUITE 5100, ATLANTA, GA 30339-3025
(770) 956-9212
(770) 956-9218
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1785
GA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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