Individual
MR. DAVID ALLEN VERNON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
3010 E STATE BLVD, FORT WAYNE, IN 46805-4700
(260) 471-2300
Mailing address
3010 E STATE BLVD, FORT WAYNE, IN 46805-4700
(260) 471-2300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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