Marshae Wilson
Case Manager/Care Coordinator in Little Rock, AR. Individual provider (NPI-1).
NPI number1013589613
StatusActive
Last updated in NPPESJul 13, 2021
Details
- NPI
- 1013589613
- Entity type
- Individual (NPI-1)
- Name
- Marshae Wilson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2021
- Certification date
- Jul 13, 2021
- Last updated
- Jul 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
6601 W 12th StLittle Rock, AR 72204-1513
Phone 501-660-6886
Mailing address
Po Box 251970Little Rock, AR 72225-1970
Phone 501-666-8686
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