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1629553524
WAYNE WILSON
SICKLERVILLE, NJ
NPI
1629553524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
WAYNE WILSON
1600 LIBERTY PL
SICKLERVILLE, NJ 08081-5705
Phone number: 856-861-5448
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Mailing Address
WAYNE WILSON
1600 LIBERTY PL
SICKLERVILLE, NJ 08081-5705
Phone number: 856-861-5448
Copy
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