Wilson, Amanda

Wilson, Amanda is an individual health care provider with primary practice located at 517 Deltona Blvd , Deltona FL 32725-8016. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wilson, Amanda can be contacted via phone (407) 202-1095.

Contact Information

Primary practice address
517 Deltona Blvd Deltona FL 32725-8016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1851712145
LBN Legal business name Wilson, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2014
Last updated Jan 3rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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