Individual
CHRISTINA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
327 SW C AVE, LAWTON, OK 73501-4016
(918) 492-2554
Mailing address
327 SW C AVE, LAWTON, OK 73501-4016
(405) 317-5987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC07704
OK
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/14/2014
Last updated
07/30/2024
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