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1013384379
MICHAEL WILSON
TIGARD, OR
NPI
1013384379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C5140)
Enumeration Date
2015-08-21
Last Update Date
2019-02-05
Business Address
MICHAEL WILSON MA Counseling
7110 SW FIR LOOP STE 220
TIGARD, OR 97223
Phone number: 503-608-0796
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Mailing Address
MICHAEL WILSON MA Counseling
7110 SW FIR LOOP STE 220
TIGARD, OR 97223-8025
Phone number: 503-608-0796
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