Individual
ASHLEE LORRAINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12727 MCMANUS BLVD STE G, NEWPORT NEWS, VA 23602-4459
(877) 418-2978
Mailing address
12727 MCMANUS BLVD STE G, NEWPORT NEWS, VA 23602-4459
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
02/11/2020
Last updated
09/11/2024
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