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Search › Florida › 101YM0800X

Mia Wilson, ED.D

NPI 1912921743 · on the registry since 2006 · sole proprietor

Practice

Address
5379 Lenox Ave
Jacksonville, FL 32205
Phone
(904) 891-6614
Fax
(904) 378-9922
Organisation at this address
Sankofa Behavioral Health Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida