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1376705434
CHARLES EMMONS WILSON
RIVERTON, WY
NPI
1376705434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: WY LMFT-111)
Enumeration Date
2008-06-30
Last Update Date
2008-07-24
Business Address
Mr. CHARLES EMMONS WILSON MA LMFT
511NORTH 12TH ST
RIVERTON, WY 82501
Phone number: 307-857-6685
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Mailing Address
Mr. CHARLES EMMONS WILSON MA LMFT
62 RIDGE RD
LANDER, WY 82520-9788
Phone number: 307-330-4635
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