Individual
RICHARD WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
201 S ROSE ST, SHERIDAN, AR 72150-2451
(870) 917-2171
(870) 917-2161
Mailing address
201 S ROSE ST, SHERIDAN, AR 72150-2451
(870) 917-2171
(870) 917-2161
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7060-C
AR
Other
Enumeration date
02/23/2009
Last updated
11/29/2017
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