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1316091119
KIMBERLY SHANNON WILSON
KNOXVILLE, TN
NPI
1316091119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: TN P0000002498)
Enumeration Date
2007-01-22
Last Update Date
2015-08-17
Business Address
-- KIMBERLY SHANNON WILSON PhD
5401 KINGSTON PIKE STE 170
KNOXVILLE, TN 37919-5022
Phone number: 865-584-4005
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Mailing Address
-- KIMBERLY SHANNON WILSON PhD
813 S NORTHSHORE DR STE 105
KNOXVILLE, TN 37919-7594
Phone number: 865-584-4005
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