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1487192688
CHARLES DALTON WILSON
SAN ANTONIO, TX
NPI
1487192688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 67329)
Enumeration Date
2017-02-08
Last Update Date
2023-09-06
Business Address
Mr. CHARLES DALTON WILSON LCSW
12607 PENNING BLF
SAN ANTONIO, TX 78253-4351
Phone number: 832-690-8432
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Mailing Address
Mr. CHARLES DALTON WILSON LCSW
12607 PENNING BLF
SAN ANTONIO, TX 78253-4351
Phone number: 832-690-8432
Copy
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