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1144550518
DANIEL LAVELLE WILSON
SACRAMENTO, CA
NPI
1144550518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2010-01-07
Last Update Date
2020-04-28
Business Address
DANIEL LAVELLE WILSON
CSH WELLNESS & RECOVERY 7171 BOWLING DR. STE 300
SACRAMENTO, CA 95823
Phone number: 916-394-9195
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Mailing Address
DANIEL LAVELLE WILSON
7171 BOWLING DR STE 300
SACRAMENTO, CA 95823-2043
Phone number: 916-394-9195
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