JOHNNIE WILLIE WILSON

CARTERSVILLE, GA
NPI1205303740
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-11-01
Last Update Date2018-11-01
Business Address
JOHNNIE WILLIE WILSON
218 STONEWALL ST
CARTERSVILLE, GA 30120-3628
Phone number: 770-386-1907
Mailing Address
JOHNNIE WILLIE WILSON
218 STONEWALL ST
CARTERSVILLE, GA 30120-3628
Phone number: 770-386-1907
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