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Kellie Ann Wilson

Social Worker, Clinical in Tulsa, OK. Individual provider (NPI-1).

NPI number1396258562
StatusActive
Last updated in NPPESNov 10, 2017

Details

NPI
1396258562
Entity type
Individual (NPI-1)
Name
Kellie Ann Wilson
Sex
Female
Sole proprietor
No
Enumeration date
Nov 10, 2017
Last updated
Nov 10, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Other names

  • Kellie Ann Bailey (Former Name)

Practice location

7010 S Yale Ave Ste 215
Tulsa, OK 74136-5743

Phone 918-492-2554

Mailing address

11006 S James Ct
Jenks, OK 74037-1663

Phone 918-949-0960

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