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Individual

NATASHA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FPSS

Contact information

Practice address
1720 ELVERTON RD, LEXINGTON, KY 40511-1578
(859) 312-7939
(859) 406-1066
Mailing address
1720 ELVERTON RD, LEXINGTON, KY 40511-1578
(859) 552-6497

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
KY

Other

Enumeration date
07/19/2017
Last updated
09/27/2021
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