Individual
NICOLE M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1558 HAYES DR, MANHATTAN, KS 66502-5068
(785) 587-4300
Mailing address
2001 CLAFLIN RD, MANHATTAN, KS 66502-3415
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12733
KS
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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