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1336683010
WILSON S BERRY
SANTA MONICA, CA
NPI
1336683010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-12-14
Last Update Date
2016-12-15
Business Address
-- WILSON S BERRY
909 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
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Mailing Address
-- WILSON S BERRY
909 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
Copy
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