Individual
MARY DAWN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
436 5TH ST TED STEVENS WAY, KOTZEBUE, AK 99752
(907) 437-2002
(907) 437-2004
Mailing address
PO BOX 7, 100 WIESNER RD, SHUNGNAK, AK 99773
(907) 437-2002
(907) 437-2004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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