Individual
MR. DAVID WARREN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
608 WILLOW GLEN RD, KENNETT SQUARE, PA 19348-2119
(302) 345-8815
(610) 388-9518
Mailing address
608 WILLOW GLEN RD, KENNETT SQUARE, PA 19348-2119
(302) 345-8815
(610) 388-9518
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007970L
PA
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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