Individual
NANCY MICHELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS MFCT INTERN
Contact information
Practice address
2993 FORMIA DR, HENDERSON, NV 89052-4066
(702) 376-7111
Mailing address
2993 FORMIA DR, HENDERSON, NV 89052-4066
(702) 376-7111
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NV
Other
Enumeration date
12/11/2012
Last updated
08/29/2013
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