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1376634659
AMANDA L WILSON
TUPELO, MS
NPI
1376634659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MS 02-0028W)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
Mrs. AMANDA L WILSON MBA, CADC
REGION III MENTAL HEALTH CENTER 920 BOONE STREET
TUPELO, MS 38804
Phone number: 662-844-3531
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Mailing Address
Mrs. AMANDA L WILSON MBA, CADC
1196 PALMETTO ROAD
TUPELO, MS 38804
Phone number: 662-566-2551
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