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1194963066
KATHERINE WILSON
INGLEWOOD, CA
NPI
1194963066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-01-29
Last Update Date
2009-01-29
Business Address
Mrs. KATHERINE WILSON
323 N PRAIRIE AVE SUITE 315
INGLEWOOD, CA 90301-4502
Phone number: 310-673-4117
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Mailing Address
Mrs. KATHERINE WILSON
323 N PRAIRIE AVE SUITE 315
INGLEWOOD, CA 90301-4502
Phone number: 310-673-4117
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