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1629703251
ANGEL LYNN WILSON
KNOXVILLE, TN
NPI
1629703251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TN LDC1294)
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
ANGEL LYNN WILSON LDAC II
2636 MARYVILLE PIKE
KNOXVILLE, TN 37920-5575
Phone number: 865-217-2450
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Mailing Address
ANGEL LYNN WILSON LDAC II
2636 MARYVILLE PIKE
KNOXVILLE, TN 37920-5575
Phone number: 865-217-2450
Copy
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