Individual
MRS. TERRI ANIKA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
91-1050 MAKAIKE ST, EWA BEACH, HI 96706-5113
(808) 664-5948
(334) 543-0961
Mailing address
91-1050 MAKAIKE ST, EWA BEACH, HI 96706-5113
(808) 664-5948
(334) 543-0961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
11/09/2020
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