Wilson, Adelaide Cleo

Wilson, Adelaide Cleo is an sole proprietor health care provider with primary practice located at 63 N Burritt Ave , Buffalo WY 82834-1868. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wilson, Adelaide Cleo can be contacted via phone (307) 337-8247.

Contact Information

Primary practice address
63 N Burritt Ave Buffalo WY 82834-1868
Phone: (307) 337-8247
Fax: (307) 278-0766
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 145 Wyoming

Profile Details

NPI number 1760408660
LBN Legal business name Wilson, Adelaide Cleo
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Jan 31st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760408660 NPPES
Wyoming MEDICAID 136274700

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