Tiana Yvonne Wilson

NPI #1396502035 in Mishawaka, Indiana

Provider Information

NPI Number: 1396502035
Entity Type: Individual
Name: Tiana Yvonne Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 29, 2024
Last Updated: Feb 29, 2024

Practice Location

Address: 1411 LINCOLNWAY W
City: Mishawaka
State: Indiana
ZIP Code: 46544-1626
Phone: (574) 533-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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