Individual
DR. CARISA WILSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1100 NE 13TH ST, OKLAHOMA CITY, OK 73117-1039
(405) 271-5700
Mailing address
1100 NE 13TH ST, OKLAHOMA CITY, OK 73117-1039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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