Martha Wilson, LBP
NPI 1720374614 · on the registry since 2011 · sole proprietor
Practice
- Address
- 300 N Dalton Ave
Valliant, OK 74764 - Phone
- (580) 933-7031
- Fax
- (580) 933-7034
- Organisation at this address
- Valliant House, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-06-20
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