STANLEY BREWSTER WILSON

BALTIMORE, MD
NPI1083871990
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  AC1048)
Enumeration Date2008-05-19
Last Update Date2008-05-19
Business Address
Mr. STANLEY BREWSTER WILSON CAC-AD
1501 DIVISION ST
BALTIMORE, MD 21217-3121
Phone number: 410-383-7169
Mailing Address
Mr. STANLEY BREWSTER WILSON CAC-AD
1501 DIVISION ST
BALTIMORE, MD 21217-3121
Phone number: 410-383-7169
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