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1417617887
ANNETTE WILSON
PORT JERVIS, NY
NPI
1417617887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 37087)
Enumeration Date
2021-12-27
Last Update Date
2021-12-27
Business Address
Ms. ANNETTE WILSON CASAC-T
123 PIKE ST
PORT JERVIS, NY 12771-1824
Phone number: 845-856-7576
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Mailing Address
Ms. ANNETTE WILSON CASAC-T
123 PIKE ST
PORT JERVIS, NY 12771-1824
Phone number: 845-856-7576
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