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1033669023
LISA WILSON
ALBUQUERQUE, NM
NPI
1033669023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM T-0181151)
Enumeration Date
2016-10-13
Last Update Date
2016-10-13
Business Address
-- LISA WILSON LMHC, Provisional
7027 MONTGOMERY BLVD NE STE F
ALBUQUERQUE, NM 87109-1529
Phone number: 505-880-0100
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Mailing Address
-- LISA WILSON LMHC, Provisional
7027 MONTGOMERY BLVD NE STE F
ALBUQUERQUE, NM 87109-1529
Phone number: 505-880-0100
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