Dequan Shaon Wilson

NPI #1083589956 in Virginia, Minnesota

Provider Information

NPI Number
1083589956
Entity Type
Individual
Name
Dequan Shaon Wilson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 9, 2025
Last Updated
Oct 9, 2025

Practice Location

Address
827 N 6TH AVE W
ZIP Code
55792
Phone
(952) 767-4200

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