Hayston W Wilson

NPI #1841062965 in Maryville, Missouri

Provider Information

NPI Number: 1841062965
Entity Type: Individual
Name: Hayston W Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Oct 23, 2023
Last Updated: Oct 23, 2023

Practice Location

Address: 1315 S MAIN ST STE C
City: Maryville
State: Missouri
ZIP Code: 64468-2605
Phone: (660) 223-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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