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1205348836
BRENDA WILSON
SPRINGFIELD, OH
NPI
1205348836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LCDCII.161325)
Enumeration Date
2017-11-06
Last Update Date
2019-04-23
Business Address
BRENDA WILSON
120 N FOUNTAIN AVE
SPRINGFIELD, OH 45502-1163
Phone number: 937-328-5300
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Mailing Address
BRENDA WILSON
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505-2620
Phone number: 937-328-5300
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