RALPH WILSON

SANBORN, NY
NPI1053484196
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  16872)
Enumeration Date2006-11-16
Last Update Date2007-07-08
Business Address
-- RALPH WILSON CASAC
6301 INDUCON DR E
SANBORN, NY 14132-9014
Phone number: 716-731-2030
Mailing Address
-- RALPH WILSON CASAC
6301 INDUCON DR E
SANBORN, NY 14132-9014
Phone number: 716-731-2030
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