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1538690953
TOMMY LAMAR WILSON
SPOKANE, WA
NPI
1538690953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP 60618611)
Enumeration Date
2017-03-27
Last Update Date
2017-03-27
Business Address
Mr. TOMMY LAMAR WILSON
701 E 3RD AVE
SPOKANE, WA 99202-6014
Phone number: 509-838-6092
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Mailing Address
Mr. TOMMY LAMAR WILSON
701 E 3RD AVE
SPOKANE, WA 99202-6014
Phone number: 509-838-6092
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