NPI 1790530764

Samuel Wilson

Practitioner Community/Behavioral Health Agency Worland, WY

Practice location

Address: 609 S 5th St, Worland, WY 82401-3809
Phone: (406) 647-9633

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Wyoming →

Registry record

NPI: 1790530764
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2024
Record last updated: 22 Apr 2024

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.