Individual
JESSE E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
1600 ALDERSGATE RD, SUITE 200, LITTLE ROCK, AR 72205-6614
(501) 661-0720
Mailing address
1600 ALDERSGATE RD, SUITE 200, LITTLE ROCK, AR 72205-6614
(501) 661-0720
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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