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Individual

MS. DENISE RENEE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN, MAC

Contact information

Practice address
SAMARITAN COUNSELING CENTER, 1201 NORTH MAIN STREET EXT., BUTLER, PA 16001-1537
(724) 287-5449
Mailing address
1201 N MAIN STREET EXT, BUTLER, PA 16001-1537
(724) 287-5449

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN217291L
PA

Other

Enumeration date
08/30/2007
Last updated
08/30/2007
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