STACIA WILSON

Case Manager/Care Coordinator

Active Individual
NPI: 1629474309

Practice Address

3411 DIVISION DR
West Plains, MO 65775

Phone: (417) 257-9152

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1629474309 is the National Provider Identifier for STACIA WILSON, a Case Manager/Care Coordinator provider located in West Plains, MO. This NPI was enumerated on November 7, 2014.
STACIA WILSON practices at 3411 DIVISION DR, West Plains, MO 65775.

Quick Facts

NPI
1629474309
Type
Individual
Enumerated
Nov 7, 2014
Last Updated
Nov 7, 2014

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