Individual
CAROLYN MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 S HARVARD AVE, STE 500, TULSA, OK 74114-3300
(918) 712-4301
(918) 712-3409
Mailing address
5315 E MARSHALL PL, TULSA, OK 74115-5587
(918) 361-6770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
09/23/2010
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