Individual
MARC EDWARD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2340 W RAY RD, CHANDLER, AZ 85224-3632
(480) 223-0223
Mailing address
1425 W ELLIOT RD STE 201, GILBERT, AZ 85233-5142
(480) 223-0223
(480) 505-7061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-20246
AZ
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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