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Justice Dwayne Wilson
Peer Specialist in Mcalester, Oklahoma
NPI 1225813272

Justice Dwayne Wilson is a Peer Specialist based in Mcalester, OK. Justice Dwayne Wilson practices in Mcalester, OK. The NPI Number for Justice Dwayne Wilson is 1225813272 and holds a License No. (Oklahoma).

The current practice location address for Justice Dwayne Wilson is 70 Duck Rd, Mcalester, OK and can be reached out via phone at 918-421-1755.

Location: 70 Duck Rd, Mcalester, OK, 74501-4815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225813272
Provider Name
Justice Dwayne Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
70 Duck Rd, Mcalester, OK, 74501-4815
Phone Number
918-421-1755
Fax Number
Provider Enumeration Date
08/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
70 Duck Rd
City
Mcalester
State
Oklahoma
Zip
74501-5959
Phone Number
918-421-1755
Fax Number
person
Provider Business Mailing Address Details
Address
70 Duck Rd
City
Mcalester
State
Oklahoma
Zip
74501-5959
Phone Number
918-421-1755
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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