Todd Wilson

NPI #1740614619 in Quinton, Oklahoma

Provider Information

NPI Number: 1740614619
Entity Type: Individual
Name: Todd Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Aug 28, 2013
Last Updated: Aug 28, 2013

Practice Location

Address: 22721 E STATE HIGHWAY 31
City: Quinton
State: Oklahoma
ZIP Code: 74561-5107
Phone: (918) 469-2884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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