Brian Evans Wilson, CPSW
NPI #1417769001 in Gamerco, New Mexico
Provider Information
- NPI Number
- 1417769001
- Entity Type
- Individual
- Name
- Brian Evans Wilson, CPSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Credential
- CPSW
- Enumeration Date
- Jan 22, 2025
- Last Updated
- Jan 22, 2025
Practice Location
- Address
- 309 S. CHINO LOOP
- City
- Gamerco
- State
- New Mexico
- ZIP Code
- 87317
- Phone
- (505) 488-2380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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