SHANGA WILSON

JACKSONVILLE, FL
NPI1063957801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-01-04
Last Update Date2017-01-04
Business Address
-- SHANGA WILSON
590 ELLIS RD S
JACKSONVILLE, FL 32254-3555
Phone number: 904-800-2231
Mailing Address
-- SHANGA WILSON
590 ELLIS RD S
JACKSONVILLE, FL 32254-3555
Phone number: 904-800-2231
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