Individual
CASEY ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
503 N HUDSON ST, ALTUS, OK 73521-3656
(866) 926-6552
Mailing address
503 N HUDSON ST, ALTUS, OK 73521-3656
(866) 926-6552
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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