Timothy Wilson
Social Worker in Bismarck, ND(View on Map)
Full Name
Timothy Wilson
NPI Number
1477133718
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/12/2021
Specialties
(Taxonomies)Licenses
State
Virginia
License Number
6057
Contact
Information
Purpose
Mailing
Location
Address
1237 W DIVIDE AVE STE 5
1237 W DIVIDE AVE STE 5
City
Bismarck
Bismarck
State
ND
ND
Postal Code
58501-1208
58501-1208
Country
US
US
Telephone Number
(701) 328-8851
(701) 328-8851
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/15/2021