Individual
MRS. LUCY CIANCIOLO WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
7145 S. BRADEN, TULSA, OK 74136
(918) 494-7088
(918) 497-1206
Mailing address
7145 S. BRADEN, TULSA, OK 74136
(918) 494-7088
(918) 497-1206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2466
OK
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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