MICHAEL WAYNE WILSON

MEDFORD, OR
NPI1861145948
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  21-QMHA-R-1053)
Enumeration Date2022-01-30
Last Update Date2022-01-30
Business Address
MICHAEL WAYNE WILSON QMHA
2932 HILLCREST RD
MEDFORD, OR 97504-7752
Phone number: 541-727-7669
Mailing Address
MICHAEL WAYNE WILSON QMHA
2932 HILLCREST RD
MEDFORD, OR 97504-7752
Phone number: 541-727-7669
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