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Individual
ROXANNE WILSON
Active
Individual
ROXANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP-082
WY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
LAT-423
WY
Other
Enumeration date
09/08/2016
Last updated
02/16/2026
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