Individual
MR. DAVID LAWRENCE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
702 E. FRANKLIN AVENUE, SUNNYSIDE, WA 98944-0997
(509) 837-7700
(509) 838-7311
Mailing address
PO BOX 997, SUNNYSIDE, WA 98944-0997
(509) 837-7700
(509) 838-7311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00002873
WA
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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