NPI 1003592783

Shayla Raechelle Wilson

Practitioner Case Manager/Care Coordinator Saint Louis, MO

Practice location

Address: 5501 Delmar Blvd STE B300, Saint Louis, MO 63112-3078
Phone: (314) 628-6205

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1003592783
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2023
Record last updated: 26 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.