KASEY WILSON

FORT SMITH, AR
NPI1023645991
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-03-23
Last Update Date2020-07-16
Business Address
KASEY WILSON ADC, BA, QBHP
3113 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
Mailing Address
KASEY WILSON ADC, BA, QBHP
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650