Search › Arizona › 1041C0700X
Theresa Wilson, LCSW
NPI 1295176733 · on the registry since 2013
Practice
- Address
- Milepost 388 Highway 264
Polacca, AZ 86042 - Phone
- (928) 737-6188
- Fax
- (928) 737-6098
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona