Individual
NANCY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 1/2 N 19TH ST, MIDDLESBORO, KY 40965-1762
(606) 248-4949
Mailing address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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