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1548658040
TAJA WILSON
GREENWOOD, SC
NPI
1548658040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-01-06
Last Update Date
2015-01-06
Business Address
-- TAJA WILSON
1612 RIVERS ST
GREENWOOD, SC 29649-8513
Phone number: 864-227-1001
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Mailing Address
-- TAJA WILSON
1612 RIVERS ST
GREENWOOD, SC 29649-8513
Phone number: 864-227-1001
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