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1649660069
JOSEPH WILSON
MOORE, OK
NPI
1649660069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 4963)
Enumeration Date
2015-01-24
Last Update Date
2015-01-24
Business Address
-- JOSEPH WILSON
720 SAINT CHARLES ST
MOORE, OK 73160-6168
Phone number: 918-605-6191
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Mailing Address
-- JOSEPH WILSON
720 SAINT CHARLES ST
MOORE, OK 73160-6168
Phone number: 918-605-6191
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