LARISSA WILSON

OKLAHOMA CITY, OK
NPI1639777410
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-10-13
Last Update Date2020-10-13
Business Address
LARISSA WILSON
9112 ROLLING GREEN AVE
OKLAHOMA CITY, OK 73132-2055
Phone number: 405-249-6436
Mailing Address
LARISSA WILSON
9112 ROLLING GREEN AVE
OKLAHOMA CITY, OK 73132-2055
Phone number: