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1104562735
ANTOINETTE R WILSON-EDWARDS
FAIRFIELD, CA
NPI
1104562735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-05-06
Last Update Date
2023-05-09
Business Address
ANTOINETTE R WILSON-EDWARDS
1234 EMPIRE ST
FAIRFIELD, CA 94533-5711
Phone number: 707-432-8549
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Mailing Address
ANTOINETTE R WILSON-EDWARDS
1234 EMPIRE ST
FAIRFIELD, CA 94533-5711
Phone number: 510-691-6063
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