Individual
ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3511 LEGATION ST NW, WASHINGTON, DC 20015-1715
(301) 461-2775
Mailing address
3511 LEGATION ST NW, WASHINGTON, DC 20015-1715
(301) 461-2775
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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