| NPI | 1124385109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY CIANCIOLO WILSON Managing Member Of LLC 918-637-9457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 2466) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-05-02 |