Jackie Ray Wilson
Jackie Ray Wilson is a Peer Specialist in Stroud, Oklahoma. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
119 W 2nd StStroud, OK 74079-4011
Phone: (405) 328-1549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1831835107 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 10, 2022 |
| Last updated in NPPES | December 16, 2022 |
| Certification date | December 16, 2022 |
| Mailing address | 6333 E Skelly Dr, Tulsa, OK 74135-6106 |
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