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1073200804
BRIAN WILSON
CLAYTON, NC
NPI
1073200804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 29433)
Enumeration Date
2023-04-21
Last Update Date
2023-04-21
Business Address
Mr. BRIAN WILSON BS, CADC-R
1699 OLD US 70 HWY W
CLAYTON, NC 27520-6566
Phone number: 919-359-1699
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Mailing Address
Mr. BRIAN WILSON BS, CADC-R
212 TAVISTOCK CT
CLAYTON, NC 27520-2184
Phone number:
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