Individual
TELA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3050 W CHEYENNE AVE STE 130, NORTH LAS VEGAS, NV 89032-6025
(702) 570-5200
(702) 570-5201
Mailing address
3050 W CHEYENNE AVE STE 100, NORTH LAS VEGAS, NV 89032-6025
(702) 570-5200
(702) 570-5201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6199C
NV
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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