Individual
DA'NAE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S PENN AVE, BARTLESVILLE, OK 74003-3847
(918) 337-8080
Mailing address
4310 E 66TH ST APT W, TULSA, OK 74136-1660
(405) 385-2678
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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