Jennifer Nicole Wilson
NPI #1477857340 in Raton, New Mexico
Provider Information
- NPI Number
- 1477857340
- Entity Type
- Individual
- Name
- Jennifer Nicole Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Jan 6, 2011
- Last Updated
- Jan 6, 2011
Practice Location
- Address
- 130 N 2ND ST
- City
- Raton
- State
- New Mexico
- ZIP Code
- 87740-3804
- Phone
- (575) 445-3557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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