LOUIS WILSON

ALBUQUERQUE, NM
NPI1144201633
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: NM  1319)
Enumeration Date2005-11-10
Last Update Date2019-05-02
Business Address
LOUIS WILSON
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110-7613
Phone number: 505-291-2134
Mailing Address
LOUIS WILSON
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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