TYROLIA DEJUAN WILSON

KANSAS CITY, KS
NPI1588194450
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  949)
Enumeration Date2017-06-14
Last Update Date2017-06-14
Business Address
Mr. TYROLIA DEJUAN WILSON
1121 N 5TH ST
KANSAS CITY, KS 66101-2305
Phone number: 913-831-2820
Mailing Address
Mr. TYROLIA DEJUAN WILSON
509 E ELM ST
SALINA, KS 67401-2353
Phone number: 785-825-0541
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