Individual
TAMAR SHANTAY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 CHERRYSTONE CIR, TUSCALOOSA, AL 35401-6777
(205) 239-7661
Mailing address
4130 CHERRYSTONE CIR, TUSCALOOSA, AL 35401-6777
(205) 239-7661
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC05189
AL
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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