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1255344396
JAMES DOUGLAS WILSON
JOHNSON CITY, TN
NPI
1255344396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: TN LCSW709)
Enumeration Date
2006-08-13
Last Update Date
2007-07-09
Business Address
Mr. JAMES DOUGLAS WILSON LCSW
607 BAXTER ST FAIRVIEW ASSOCIATES
JOHNSON CITY, TN 37601
Phone number: 423-232-2720
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Mailing Address
Mr. JAMES DOUGLAS WILSON LCSW
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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