Search › Wyoming › 1041C0700X
Matia Wilson, LCSW
NPI 1518497106 · on the registry since 2017
Practice
- Address
- 510 S Cache St
Jackson, WY 83001 - Phone
- (307) 733-6440
- Clinicians at this address
- 8
Additional practice sites
- 501 S Cache St, Jackson, WY
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-21
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 Wyoming