Stacey Wilson

NPI #1477832558 in Mountain Village, Alaska

Provider Information

NPI Number
1477832558
Entity Type
Individual
Name
Stacey Wilson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Management
Enumeration Date
Aug 8, 2011
Last Updated
Aug 8, 2011

Practice Location

Address
100 AIRPORT RD #366
State
Alaska
ZIP Code
99632
Phone
(907) 591-6295

Specialties & Taxonomy Codes

Specialty
Counselor
Case Management
Early Intervention Provider Agency
In Home Supportive Care

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