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1518337740
MARK WILSON
MONROE, LA
NPI
1518337740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: LA 2331)
Enumeration Date
2015-09-30
Last Update Date
2016-08-01
Business Address
DR. MARK WILSON LPC
4951 CENTRAL AVE
MONROE, LA 71203-6156
Phone number: 318-340-1535
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Mailing Address
DR. MARK WILSON LPC
4951 CENTRAL AVE
MONROE, LA 71203-6156
Phone number: 318-340-1535
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