SHANE WILSON

ANCHORAGE, AK
NPI1528662152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-11-24
Last Update Date2020-11-24
Business Address
SHANE WILSON
2330 NICHOLS ST
ANCHORAGE, AK 99508-3458
Phone number: 907-279-6617
Mailing Address
SHANE WILSON
2330 NICHOLS ST
ANCHORAGE, AK 99508-3458
Phone number:
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