Organization
WILSON COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCY CIANCIOLO WILSON (MANAGING MEMBER OF LLC)
(918) 637-9457
Entity
Organization
Contact information
Practice address
5110 S YALE AVE STE 412, TULSA, OK 74135-7483
(918) 574-2722
Mailing address
4020 E 86TH ST, TULSA, OK 74137-2606
(918) 637-9457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2466
OK
Other
Enumeration date
04/16/2012
Last updated
05/02/2012
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