Bridgette Wilson

NPI #1760820773 in Trumann, Arkansas

Provider Information

NPI Number: 1760820773
Entity Type: Individual
Name: Bridgette Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jun 12, 2013
Last Updated: Jun 12, 2013

Practice Location

Address: 1704 HWY 69
City: Trumann
State: Arkansas
ZIP Code: 72472
Phone: (870) 933-6886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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