ANGELIQUE EMILY WILSON

FORT WAYNE, IN
NPI1851168801
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies104100000X Social Worker
Enumeration Date2023-12-11
Last Update Date2023-12-11
Business Address
Ms. ANGELIQUE EMILY WILSON
6030 E STATE BLVD
FORT WAYNE, IN 46815-7639
Phone number: 260-245-6374
Mailing Address
Ms. ANGELIQUE EMILY WILSON
6030 E STATE BLVD
FORT WAYNE, IN 46815-7639
Phone number: 260-245-6374