Individual
COURTNEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MARCUS DR STE 308, GREENVILLE, SC 29615-6946
(864) 631-2084
(615) 815-1946
Mailing address
1321 MURFREESBORO PIKE STE 410, NASHVILLE, TN 37217-2665
(615) 247-5487
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-285819
SC
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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