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Individual

JOSEPH WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
720 SAINT CHARLES ST, MOORE, OK 73160-6168
(918) 605-6191
Mailing address
720 SAINT CHARLES ST, MOORE, OK 73160-6168
(918) 605-6191

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4963
OK

Other

Enumeration date
01/24/2015
Last updated
01/24/2015
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