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1033943196
DAVID GERARD WILSON
HYATTSVILLE, MD
NPI
1033943196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MD AC3466)
Enumeration Date
2024-08-29
Last Update Date
2024-08-29
Business Address
DAVID GERARD WILSON CAC-AD
1802 BRIGHTSEAT RD
HYATTSVILLE, MD 20785-4232
Phone number: 301-742-5623
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Mailing Address
DAVID GERARD WILSON CAC-AD
1802 BRIGHTSEAT RD
HYATTSVILLE, MD 20785-4232
Phone number: 301-742-5623
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