Individual
DEBBIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 NE 24TH ST, OKLAHOMA CITY, OK 73111-3330
(405) 424-3191
Mailing address
1800 NE 24TH ST, OKLAHOMA CITY, OK 73111-3330
(405) 424-3191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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