BENJAMIN JOSEPH ROBERT WILSON

OMAK, WA
NPI1245723493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CG61271846)
Enumeration Date2018-06-12
Last Update Date2024-12-19
Business Address
BENJAMIN JOSEPH ROBERT WILSON CDP
1007 KOALA DR
OMAK, WA 98841-9247
Phone number: 509-826-6191
Mailing Address
BENJAMIN JOSEPH ROBERT WILSON CDP
1007 KOALA DR
OMAK, WA 98841-9247
Phone number: 509-826-6191
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