Individual
MR. ANTHONY CHRISTOPHER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7300 N PERIMETER RD, BLDG 2040, MALMSTROM AFB, MT 59402-6701
(406) 731-3219
(406) 731-3231
Mailing address
655 7TH ST BLDG 700700-A, 78 MDG/SGOW, ROBINS AFB, GA 31098-2227
(478) 327-8403
(478) 327-8400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078660
DC
Other
Enumeration date
08/21/2006
Last updated
05/03/2010
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