Tina Wilson's National Provider Identifier (NPI) Details
Tina Wilson, LCSW
NPI: 1275286494
Enumeration Date: 2022-01-28
Last updated: 2022-01-28
Sole Proprietor: YES
Status: active
Postal Address: 15801 ARTIST WAY APT 4209, ADDISON, TX
Phone: 817-201-5572
Primary Practice Address: 15801 ARTIST WAY APT 4209, ADDISON, TX
Practice's phone: 817-201-5572