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1083301311
DWUAN WILSON
MARION, IL
NPI
1083301311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
DWUAN WILSON MSW
1307 W MAIN ST
MARION, IL 62959-1139
Phone number: 618-997-5336
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Mailing Address
DWUAN WILSON MSW
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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