DAVA R WILSON

BOWLING GREEN, KY
NPI1619430444
Former NameDAVA WHITAKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  253861)
Enumeration Date2019-04-09
Last Update Date2019-04-09
Business Address
DAVA R WILSON CSW
1143 FAIRWAY ST STE 320
BOWLING GREEN, KY 42103-2452
Phone number: 270-904-6307
Mailing Address
DAVA R WILSON CSW
10100 ELIDA RD
DELPHOS, OH 45833-9058
Phone number: 419-695-8010
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