Individual
DUSTY RANDALL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3940 N 9TH ST, LINCOLN, NE 68521-2432
(402) 440-3185
Mailing address
3940 N 9TH ST, LINCOLN, NE 68521-2432
(402) 440-3185
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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