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1497372379
NAILAH L WILDS
NEW YORK, NY
NPI
1497372379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: NY 002846)
Enumeration Date
2020-06-26
Last Update Date
2023-11-03
Business Address
NAILAH L WILDS LCAT, R-DMT
45 E 135TH ST
NEW YORK, NY 10037-2308
Phone number: 646-780-9385
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Mailing Address
NAILAH L WILDS LCAT, R-DMT
226 PROSPECT PARK W # 160
BROOKLYN, NY 11215-5802
Phone number: 646-667-3802
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