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1104333244
TYSHELLE WILSON
BIRMINGHAM, AL
NPI
1104333244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: AL 4106C)
Enumeration Date
2018-01-09
Last Update Date
2018-01-09
Business Address
TYSHELLE WILSON
1152 LAY DR
BIRMINGHAM, AL 35215-6938
Phone number: 205-821-6754
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Mailing Address
TYSHELLE WILSON
1152 LAY DR
BIRMINGHAM, AL 35215-6938
Phone number: 205-821-6754
Copy
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