THERESA ANN WILSON

POLACCA, AZ
NPI1295176733
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  0698081)
Enumeration Date2013-07-12
Last Update Date2013-07-12
Business Address
Ms. THERESA ANN WILSON LCSW
MILEPOST 388 HIGHWAY 264
POLACCA, AZ 86042-4000
Phone number: 928-737-6188
Mailing Address
Ms. THERESA ANN WILSON LCSW
PO BOX 4000
POLACCA, AZ 86042-4000
Phone number: 928-737-6188
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