TERRY DWAYNE WILSON

FAYETTEVILLE, NC
NPI1124246475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
Mr. TERRY DWAYNE WILSON Associate
3423 MELROSE RD # A
FAYETTEVILLE, NC 28304-1608
Phone number: 910-864-8739
Mailing Address
Mr. TERRY DWAYNE WILSON Associate
978 BASSMAN LN APT 304
FAYETTEVILLE, NC 28314-2189
Phone number: 910-723-1898