Individual
MISS DANIELLE NICOLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 SW 69TH ST, OKLAHOMA CITY, OK 73159-2949
(405) 589-4147
Mailing address
2100 SW 69TH ST, OKLAHOMA CITY, OK 73159-2949
(405) 589-4147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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