WYATT DANE CARSON

MC COOK, NE
NPI1174771505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  P-628)
Enumeration Date2008-08-27
Last Update Date2008-08-27
Business Address
Mr. WYATT DANE CARSON PLADC
322 NORRIS AVE #5
MC COOK, NE 69001-3700
Phone number: 308-345-5592
Mailing Address
Mr. WYATT DANE CARSON PLADC
322 NORRIS AVE #5
MC COOK, NE 69001-3700
Phone number: 308-345-5592