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1407482656
MELISSA E WILSON
SAN PEDRO, CA
NPI
1407482656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-03-19
Last Update Date
2020-03-19
Business Address
MELISSA E WILSON
205 W 9TH ST
SAN PEDRO, CA 90731-3711
Phone number: 310-521-9209
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Mailing Address
MELISSA E WILSON
205 W 9TH ST
SAN PEDRO, CA 90731-3711
Phone number: 310-521-9209
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