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1164895728
MICHAEL WILSON
BOSSIER CITY, LA
NPI
1164895728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-04
Last Update Date
2015-11-04
Business Address
-- MICHAEL WILSON
3027 PLEASANT GRV
BOSSIER CITY, LA 71111-5758
Phone number: 318-208-4420
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Mailing Address
-- MICHAEL WILSON
3027 PLEASANT GRV
BOSSIER CITY, LA 71111-5758
Phone number:
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