Individual
ANALYCIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3807 N DENNY WAY, BUCKEYE, AZ 85396-3657
(505) 730-5632
Mailing address
PO BOX 16906, PHOENIX, AZ 85011-6906
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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