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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. THERESA ANN WILSON, LCSW

Active

MS. THERESA ANN WILSON, LCSW is a Clinical Social Worker healthcare provider located in POLACCA, Arizona. NPI 1295176733 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · POLACCA, AZ

Registration Details

NPI Number
1295176733
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2013 (13.062218963836 yrs)
Last Updated
Jul 12, 2013
License
0698081 (NY)

Practice Information

Address
MILEPOST 388 HIGHWAY 264
POLACCA, AZ, 860424000
Browse AZ providers · Browse ZIP 86042
Phone
9287376188
Fax
9287376098
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in POLACCA, AZ

Name Credential NPI
FRANCES A. DUGGAN LCSW-R 1598802043
MELISSA ANN GALLUP 1497265953
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.