Wilson, Sandra

Wilson, Sandra is an individual health care provider with primary practice located at 121 Jackson St , Newnan GA 30263-1572. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Wilson, Sandra can be contacted via phone (770) 251-5873.

Contact Information

Primary practice address
121 Jackson St Newnan GA 30263-1572
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X PSY003843 Georgia

Profile Details

NPI number 1609279967
LBN Legal business name Wilson, Sandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2014
Last updated Oct 1st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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