Kelli Wilson, MBS

NPI #1215069356 in Calera, Oklahoma

Provider Information

NPI Number: 1215069356
Entity Type: Individual
Name: Kelli Wilson, MBS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MBS
Enumeration Date: Mar 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 221 RIDGECREST DR
City: Calera
State: Oklahoma
ZIP Code: 74730-2510
Phone: (580) 924-6363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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