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1417468968
ANGELA WILKERSON
LUBBOCK, TX
NPI
1417468968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 30139)
Enumeration Date
2017-10-23
Last Update Date
2017-10-30
Business Address
ANGELA WILKERSON LCDC-I
1705 N FM 179
LUBBOCK, TX 79416-9441
Phone number: 806-797-8003
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Mailing Address
ANGELA WILKERSON LCDC-I
1715 26TH ST
LUBBOCK, TX 79411-1524
Phone number: 806-780-8300
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