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Individual

WILLIAM DAVID WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
17795 W 106TH ST STE 202, OLATHE, KS 66061-3155
(913) 267-0712
Mailing address
15716 W 150TH TER, OLATHE, KS 66062-4732
(191) 367-1990

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04134
KS

Other

Enumeration date
09/07/2022
Last updated
09/07/2022
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