Individual
CHRISTY V WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CDMS, CRC
Contact information
Practice address
120 N BRYANT AVE STE A5, EDMOND, OK 73034-6300
(405) 640-5270
Mailing address
PO BOX 1729, NORMAN, OK 73070-1729
(405) 321-3499
(405) 364-5379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1989
OK
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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