Individual
MYRA VAUGHTERS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 LANDSDOWN DR, SALISBURY, NC 28147-7373
(336) 682-8968
(980) 330-3432
Mailing address
1320 LANDSDOWN DR, SALISBURY, NC 28147-7373
(336) 682-8968
(980) 330-3432
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
04/02/2020
Last updated
10/23/2024
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