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1174010292
CHARLA ANN WILSON
GULFPORT, MS
NPI
1174010292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS 2269)
Enumeration Date
2018-04-13
Last Update Date
2018-04-13
Business Address
CHARLA ANN WILSON
2352 E PASS RD
GULFPORT, MS 39507-3805
Phone number: 228-284-2337
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Mailing Address
CHARLA ANN WILSON
14605 RIVER PLANTATION CT
BILOXI, MS 39532-7617
Phone number: 228-229-7147
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