Individual
JENNIFER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1097 TIMBER RIDGE RD, CHARLOTTE, TN 37036-5711
(615) 419-9491
Mailing address
1097 TIMBER RIDGE RD, CHARLOTTE, TN 37036-5711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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