Individual
MRS. GLORIA J WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
4501 CALLAHAN DR, OKLAHOMA CITY, OK 73121-1850
(405) 424-5111
Mailing address
4501 CALLAHAN DR, OKLAHOMA CITY, OK 73121-1850
(405) 424-5111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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