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1124378450
PHYLLIS A. WILSON
VIRGINIA BEACH, VA
NPI
1124378450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: VA 0813000386)
Enumeration Date
2012-09-13
Last Update Date
2012-09-13
Business Address
Ms. PHYLLIS A. WILSON MS
1249 EAGLE WAY
VIRGINIA BEACH, VA 23456
Phone number: 757-471-2714
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Mailing Address
Ms. PHYLLIS A. WILSON MS
1249 EAGLE WAY
VIRGINIA BEACH, VA 23456
Phone number: 757-471-2714
Copy
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