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Individual

DR. GWENDOLYN JACQUELINE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1720 ARBORWAY DR, TUSCALOOSA, AL 35405-6548
(205) 523-2912
Mailing address
1720 ARBORWAY DR, TUSCALOOSA, AL 35405-6548
(205) 523-2912

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1381
AL

Other

Enumeration date
12/08/2021
Last updated
12/08/2021
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