| Mary Wilson, | |
|
10710 Old Highway 64, Bolivar, TN 38008-3587 | |
| (731) 658-6113 | |
| (731) 658-6165 |
| Full Name | Mary Wilson |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 10710 Old Highway 64, Bolivar, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578662532 | NPI | - | NPPES |
| 57436800 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Wilson, 700 Locust St, Bolivar, TN 38008-2858 Ph: (731) 658-6113 | Mary Wilson, 10710 Old Highway 64, Bolivar, TN 38008-3587 Ph: (731) 658-6113 |
Marvin Gary Gill, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 | |
Harlis Reese, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 | |
Michelle Guia, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 | |
Mr. Broderick Webster Sr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 793 Tennessee St, Bolivar, TN 38008 Phone: 731-228-9068 Fax: 901-425-9773 | |
Lafonda Boyd, BLS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 | |
Edward Daniel Hamer, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-1597 | |
Jacob Isaac Latham, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165 |