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1316611239
CAROLYN DENISE WILSON
TAOS, NM
NPI
1316611239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NM CMH0215151)
Enumeration Date
2021-08-04
Last Update Date
2021-08-04
Business Address
CAROLYN DENISE WILSON LMHC
105 BERTHA RD
TAOS, NM 87571-7148
Phone number: 401-323-1432
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Mailing Address
CAROLYN DENISE WILSON LMHC
176 MAESTAS RD UNIT B
RANCHOS DE TAOS, NM 87557-9779
Phone number: 401-323-1432
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