Individual
JENNIFER SUE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6916 HIGHWAY 82, GLENWOOD SPRINGS, CO 81601-9435
(970) 945-2583
(970) 928-8852
Mailing address
PO BOX 40, GLENWOOD SPRINGS, CO 81602-0040
(970) 945-2241
(970) 945-5523
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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