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1639777410
LARISSA WILSON
OKLAHOMA CITY, OK
NPI
1639777410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
LARISSA WILSON
9112 ROLLING GREEN AVE
OKLAHOMA CITY, OK 73132-2055
Phone number: 405-249-6436
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Mailing Address
LARISSA WILSON
9112 ROLLING GREEN AVE
OKLAHOMA CITY, OK 73132-2055
Phone number:
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