Individual
CYNTHIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 W 17TH PL, TULSA, OK 74119-4654
(479) 395-0166
Mailing address
252 W 17TH PL, TULSA, OK 74119-4654
(479) 395-0166
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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