BENJAMIN MARTIN WILSON

LOUISVILLE, KY
NPI1700434636
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: KY  248552)
Enumeration Date2019-09-04
Last Update Date2019-09-04
Business Address
BENJAMIN MARTIN WILSON
4010 DUPONT CIR STE 582
LOUISVILLE, KY 40207-4888
Phone number: 502-899-5411
Mailing Address
BENJAMIN MARTIN WILSON
17313 CURRY BRANCH RD
LOUISVILLE, KY 40245-7501
Phone number: 502-930-5745