WILLIE J WILSON

BALTIMORE, MD
NPI1245806439
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  AC-1150)
Enumeration Date2021-05-28
Last Update Date2021-05-28
Business Address
Mr. WILLIE J WILSON CAC-AD
3111 CLIFTON AVE
BALTIMORE, MD 21216-2734
Phone number: 443-271-2874
Mailing Address
Mr. WILLIE J WILSON CAC-AD
3916 ANNELLEN RD
BALTIMORE, MD 21215-7215
Phone number: 443-271-2874
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