Justice Dwayne Wilson Valid NPI

Individual provider · Peer Specialist · Mcalester, OK

NPI

1225813272

Type

Individual (Type 1)

Primary specialty

Peer Specialist

Specialty group

Other Service Providers

Taxonomy code

175T00000X

Sex

Male

Sole proprietor

No

Enumerated

2023-08-29

Last updated

2023-08-29