Individual
DALE WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 E 32ND ST, JOPLIN, MO 64804-3904
(417) 347-7500
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7600
(417) 347-7608
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01807
MO
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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