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1265998132
CLINTON AARON WILSON
MADISON, MS
NPI
1265998132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MS P-0255)
Enumeration Date
2019-02-15
Last Update Date
2019-02-15
Business Address
CLINTON AARON WILSON P-LPC, MAMFT
940 EBENEZER BLVD
MADISON, MS 39110-6002
Phone number: 601-790-0583
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Mailing Address
CLINTON AARON WILSON P-LPC, MAMFT
940 EBENEZER BLVD
MADISON, MS 39110-6002
Phone number: 601-790-0583
Copy
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