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1124658562
SAVANNA DELORIS WILSON
VANCOUVER, WA
NPI
1124658562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-24
Last Update Date
2020-01-24
Business Address
SAVANNA DELORIS WILSON
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-397-8246
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Mailing Address
SAVANNA DELORIS WILSON
6906 NW 2ND AVE
VANCOUVER, WA 98665-8430
Phone number: 360-560-5937
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