Lora Nicole Wilson

NPI #1598305351 in Kennett, Missouri

Provider Information

NPI Number
1598305351
Entity Type
Individual
Name
Lora Nicole Wilson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jan 9, 2020
Last Updated
Jan 9, 2020

Practice Location

Address
1109 JONES ST
ZIP Code
63857-3824
Phone
(573) 888-5925

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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