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1053723338
LARRY DONTE WILSON
FREDERICK, MD
NPI
1053723338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 15758)
Enumeration Date
2014-05-21
Last Update Date
2014-05-21
Business Address
-- LARRY DONTE WILSON LCSW-C
604 SOLAREX CT SUITE 201
FREDERICK, MD 21703-7005
Phone number: 301-663-8263
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Mailing Address
-- LARRY DONTE WILSON LCSW-C
604 SOLAREX CT SUITE 201
FREDERICK, MD 21703-7005
Phone number: 301-663-8263
Copy
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