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1578802310
GREGORY LEE WILSON
GREENWOOD, SC
NPI
1578802310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SC 13011718)
Enumeration Date
2013-02-13
Last Update Date
2013-02-13
Business Address
Mr. GREGORY LEE WILSON M. Ed.
1612 RIVERS ST
GREENWOOD, SC 29649-8513
Phone number: 864-227-1001
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Mailing Address
Mr. GREGORY LEE WILSON M. Ed.
PO BOX 50209
GREENWOOD, SC 29649-0021
Phone number: 864-227-1001
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