MR. Dallas Randall Wilson, MSW, LSW

NPI #1013201292 in Richmond, Indiana

Provider Information

NPI Number: 1013201292
Entity Type: Individual
Name: MR. Dallas Randall Wilson, MSW, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MSW, LSW
Enumeration Date: Jun 5, 2011
Last Updated: Nov 21, 2014

Practice Location

Address: 16 SW 5TH ST
City: Richmond
State: Indiana
ZIP Code: 47374-4101
Phone: (765) 288-1928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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