Individual
DANIEL MARK WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, CSW-I
Contact information
Practice address
975 KIRMAN AVE., RENO, NV 89502
(775) 326-2920
Mailing address
975 KIRMAN AVE., RENO, NV 89502
(775) 326-2920
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10816-M
NV
1041C0700X
Clinical Social Worker
IC-2325
NV
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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