Individual
MARIE ELAINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
79 WINSTON DR STE 235, ROCK SPRINGS, WY 82901-5770
(307) 382-6511
Mailing address
79 WINSTON DR STE 235, ROCK SPRINGS, WY 82901-5770
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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