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1114658176
COURTNEY JERMAINE WILSON
SUNRISE, FL
NPI
1114658176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 19793)
Enumeration Date
2022-06-21
Last Update Date
2024-11-06
Business Address
Dr. COURTNEY JERMAINE WILSON PhD, LCSW
9346 NW 49TH PL
SUNRISE, FL 33351-5261
Phone number: 646-667-3727
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Mailing Address
Dr. COURTNEY JERMAINE WILSON PhD, LCSW
11200 SW 8TH ST # STREET5
MIAMI, FL 33199-2516
Phone number: 407-917-3009
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