Individual
MARY KATHERINE ORY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
665 S JEFFERSON AVE, COOKEVILLE, TN 38501-4011
(931) 582-0051
Mailing address
446 METROPLEX DRIVE, SUITE A-100, NASHVILLE, TN 37211
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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