Samuel Wilson

NPI #1790530764 in Worland, Wyoming

Provider Information

NPI Number
1790530764
Entity Type
Individual
Name
Samuel Wilson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 22, 2024
Last Updated
Apr 22, 2024

Practice Location

Address
609 S 5TH ST
State
Wyoming
ZIP Code
82401-3809
Phone
(406) 647-9633

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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