DALLAS RANDALL WILSON

RICHMOND, IN
NPI1013201292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2011-06-05
Last Update Date2014-11-21
Business Address
MR. DALLAS RANDALL WILSON MSW, LSW
16 SW 5TH ST
RICHMOND, IN 47374-4101
Phone number: 765-288-1928
Mailing Address
MR. DALLAS RANDALL WILSON MSW, LSW
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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