Organization
STEVIE WILSON, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVIE WILSON (DIRECTOR)
(405) 420-1658
Entity
Organization
Contact information
Practice address
1601 MEDICAL CENTER DR, SUITE 6, EDMOND, OK 73034-6359
(405) 420-1658
Mailing address
9501 S I 35 SERVICE RD, 907, MOORE, OK 73160-3140
(405) 420-1658
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4859
OK
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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