Individual
IRENE HOLLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 S VALLEY VIEW BLVD, SUITE 6, LAS VEGAS, NV 89102-0116
(702) 830-5090
Mailing address
1770 N GREEN VALLEY PKWY, APARTMENT 3523, HENDERSON, NV 89074-5833
(480) 696-9021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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