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1407327927
LEWIS A WILSON
TACOMA, WA
NPI
1407327927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA 00000783)
Enumeration Date
2018-12-10
Last Update Date
2018-12-10
Business Address
MR. LEWIS A WILSON CDP
721 FAWCETT AVE STE 201
TACOMA, WA 98402-5502
Phone number: 253-284-7812
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Mailing Address
MR. LEWIS A WILSON CDP
721 FAWCETT AVE STE 201
TACOMA, WA 98402-5502
Phone number: 253-597-2340
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