Individual
CHRISTINA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E BROADWAY CT STE E, SAND SPRINGS, OK 74063-7931
(918) 245-5565
(918) 245-5564
Mailing address
7010 S YALE AVE STE 215, TULSA, OK 74136-5743
(918) 492-2554
(918) 494-9870
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
05/18/2021
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