Individual
MRS. AMANDA OGLESBY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, NCC
Contact information
Practice address
561 N ROBINSON ST, SENATOBIA, MS 38668-2118
(662) 209-4290
Mailing address
26104 HIGHWAY 4 E, SENATOBIA, MS 38668-5901
(662) 209-4290
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1067
MS
Other
Enumeration date
07/20/2009
Last updated
09/01/2011
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