TANISHA SHANISE WILSON

CASSELBERRY, FL
NPI1952136681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-09-03
Last Update Date2024-09-03
Business Address
TANISHA SHANISE WILSON
1211 STATE ROAD 436 STE 171
CASSELBERRY, FL 32707-6442
Phone number: 407-894-1708
Mailing Address
TANISHA SHANISE WILSON
PO BOX 682846
ORLANDO, FL 32868-2846
Phone number:
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