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1174202188
JIMMY LEE WILSON
LANDOVER, MD
NPI
1174202188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MD 26944)
Enumeration Date
2023-07-17
Last Update Date
2023-07-17
Business Address
Dr. JIMMY LEE WILSON Ph.D, LMSW
1802 BRIGHTSEAT RD STE 300
LANDOVER, MD 20785-4244
Phone number: 240-249-0989
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Mailing Address
Dr. JIMMY LEE WILSON Ph.D, LMSW
13413 LUCY CT
BRANDYWINE, MD 20613-7852
Phone number: 731-217-2569
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