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1457900698
DESHAWN E WILSON
AUGUSTA, GA
NPI
1457900698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: SC 13189)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
DESHAWN E WILSON
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 707-733-0188
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Mailing Address
DESHAWN E WILSON
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 707-733-0188
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