Individual
DENISE C. WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
126 E ALCOTT AVE, FERGUS FALLS, MN 56537-2903
(218) 736-6987
(218) 736-6980
Mailing address
609 LAKESIDE DRIVE, FERGUS FALLS, MN 56537
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0790
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010725
PREFERREDONE
MN
01
—
116408
UCARE MINNESOTA
MN
01
—
62-20515
UNITED BEHAVIORAL HEALTH
MN
01
—
8L660WI
BLUE SHIELD OF MINNESOTA
MN
01
—
HP23065
HEALTHPARTNERS
MN
Enumeration date
06/12/2006
Last updated
07/08/2007
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