Rae Wilson, MSW

NPI #1962721928 in Enid, Oklahoma

Provider Information

NPI Number: 1962721928
Entity Type: Individual
Name: Rae Wilson, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: May 28, 2010
Last Updated: May 28, 2010

Practice Location

Address: 2929 E RANDOLPH AVE
City: Enid
State: Oklahoma
ZIP Code: 73701-4667
Phone: (972) 742-2815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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