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1013453695
MICHELE R WILSON
LOS ANGELES, CA
NPI
1013453695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-06
Last Update Date
2017-04-14
Business Address
Ms. MICHELE R WILSON
433 N HOOVER ST
LOS ANGELES, CA 90004-2306
Phone number: 323-644-2040
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Mailing Address
Ms. MICHELE R WILSON
433 N HOOVER ST
LOS ANGELES, CA 90004-2306
Phone number: 323-644-2040
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