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Search › Oklahoma › 251B00000X

Tyra Wilson

NPI 1336868710 · on the registry since 2022 · sole proprietor

Practice

Address
109 S Harrill Ave
Wagoner, OK 74467
Phone
(918) 485-0242
Organisation at this address
Eagle Ridge Institute
Eagle Ridge Institute
Creoks Mental Health Services
Creoks Mental Health Services, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
97

Registry record

Primary taxonomy
251B00000X
251B00000X
Sex
Female
Record last updated
2022-08-26

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 Oklahoma