Individual
DR. GRACE ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
3500 NW 56TH ST, SUITE 100, OKLAHOMA CITY, OK 73112-4529
(405) 951-2855
(405) 951-2858
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 951-2855
(405) 951-2858
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1169
OK
106H00000X
Marriage & Family Therapist
7088A
NC
Other
Enumeration date
11/28/2011
Last updated
04/05/2017
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