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1285941708
GWEN WILSON
INGLEWOOD, CA
NPI
1285941708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-09-03
Last Update Date
2010-09-03
Business Address
-- GWEN WILSON
611 S FLOWER ST APT 5
INGLEWOOD, CA 90301-5570
Phone number: 323-208-8275
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Mailing Address
-- GWEN WILSON
611 S FLOWER ST APT 5
INGLEWOOD, CA 90301-5570
Phone number: 323-208-8275
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