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1245996719
RAY SEAN WILSON
MIDDLEBURY, CT
NPI
1245996719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 11832)
Enumeration Date
2021-11-09
Last Update Date
2021-11-09
Business Address
RAY SEAN WILSON LCSW
20 WOODSIDE AVE
MIDDLEBURY, CT 06762-2857
Phone number: 203-675-5371
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Mailing Address
RAY SEAN WILSON LCSW
11 LAVERY LN
BERLIN, CT 06037-1272
Phone number: 203-675-5371
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