Most Relevant Information
Provider Data
| NPI Number: | 1003590555 |
| Provider Name: | HAYLIE J WILSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/14/2023 |
| Last Updated: | 06/19/2023 |
Provider Practice Location
3111 S 70TH ST
FORT SMITH
AR
729035017
Practice Location Phone/Fax
| Phone: | 4794526650 |
| Fax: | 4794524387 |
Provider Mailing Location
3111 S 70TH ST
FORT SMITH
AR
729035017
Provider Mailing Phone/Fax
| Phone: | 4794526650 |
| Fax: | 4794524387 |