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Individual

TAYLER RENEE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
120 N BRYANT AVE STE A6, EDMOND, OK 73034-6300
(572) 239-9500
Mailing address
11216 NW 135TH ST, YUKON, OK 73099-9475
(918) 644-8201

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
OK
101YP2500X
Professional Counselor
Primary
10261
OK
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
04/16/2021
Last updated
06/26/2026
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