ANTWAIN WILSON

LANCASTER, CA
NPI1114320611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  IMF73683)
Enumeration Date2014-09-29
Last Update Date2014-09-29
Business Address
-- ANTWAIN WILSON
5300 W AVENUE I
LANCASTER, CA 93536-8312
Phone number: 661-940-4052
Mailing Address
-- ANTWAIN WILSON
5300 W AVENUE I
LANCASTER, CA 93536-8312
Phone number: 661-940-4052
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