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1063905727
JEANNETTE WILSON
FAIRFIELD, CA
NPI
1063905727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 105907)
Enumeration Date
2018-06-07
Last Update Date
2018-06-07
Business Address
Mrs. JEANNETTE WILSON
801 EMPIRE ST
FAIRFIELD, CA 94533-5702
Phone number: 707-425-5744
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Mailing Address
Mrs. JEANNETTE WILSON
801 EMPIRE ST
FAIRFIELD, CA 94533-5702
Phone number: 707-425-5744
Copy
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