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1194370965
TIMOTHY J WILSON
VANCOUVER, WA
NPI
1194370965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-08-07
Last Update Date
2019-08-07
Business Address
TIMOTHY J WILSON
6221 NE FOURTH PLAIN BLVD APT 130
VANCOUVER, WA 98661-7210
Phone number: 360-831-0908
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Mailing Address
TIMOTHY J WILSON
PO BOX 1845
VANCOUVER, WA 98668-1845
Phone number:
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