Individual
MS. JESSICA ANNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CARE COORDINATOR
Contact information
Practice address
333 CHURCH ST, WRANGELL, AK 99929
(907) 874-2373
(907) 874-2576
Mailing address
333 CHURCH STREET, P.O. BOX 1231, WRANGELL, AK 99929-1231
(907) 874-2373
(907) 874-2576
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CMG543
AK
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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