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1689847386
JAMES VERNON WILSON
PHOENIX, AZ
NPI
1689847386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ 11800)
Enumeration Date
2008-04-02
Last Update Date
2008-04-02
Business Address
Mr. JAMES VERNON WILSON M.A., L.I.S.A.C.
2123 W CHAMBERS ST
PHOENIX, AZ 85041-3720
Phone number: 602-276-5653
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Mailing Address
Mr. JAMES VERNON WILSON M.A., L.I.S.A.C.
2123 W CHAMBERS ST
PHOENIX, AZ 85041-3720
Phone number: 602-276-5653
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