Individual
ADELAIDE CLEO WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
63 N BURRITT AVE, BUFFALO, WY 82834-1868
(307) 337-8247
(307) 278-0766
Mailing address
1876 S SHERIDAN AVE, SHERIDAN, WY 82801-6136
(307) 672-0475
(307) 672-0476
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
145
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136274700
—
WY
Enumeration date
07/14/2006
Last updated
01/31/2017
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