CHARLES ISAIAH WILSON

PHOENIX, AZ
NPI1295006195
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: AZ  3664065)
Enumeration Date2012-01-24
Last Update Date2012-01-24
Business Address
-- CHARLES ISAIAH WILSON
4449 N 12TH ST SUITE A1
PHOENIX, AZ 85014-4520
Phone number: 602-279-1427
Mailing Address
-- CHARLES ISAIAH WILSON
PO BOX 16906
PHOENIX, AZ 85011-6906
Phone number: 602-279-1427