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1649863721
CODY L WILSON
CONROE, TX
NPI
1649863721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 81173)
Enumeration Date
2021-02-18
Last Update Date
2021-02-18
Business Address
CODY L WILSON
5452 HIGHWAY 105 W STE 103
CONROE, TX 77304-1403
Phone number: 936-520-9124
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Mailing Address
CODY L WILSON
25335 BUDDE RD APT 921
SPRING, TX 77380-2319
Phone number: 936-222-1175
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