Individual
HANNAH ELAYNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 N WOODLAND DR, SAND SPRINGS, OK 74063-8764
(918) 409-1364
Mailing address
802 N WOODLAND DR, SAND SPRINGS, OK 74063-8764
(918) 409-1364
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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