DEWIGHT EDWIN WILSON

VALLEJO, CA
NPI1699221945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  11966)
Enumeration Date2016-08-28
Last Update Date2016-08-28
Business Address
MR. DEWIGHT EDWIN WILSON RADT1
419 PENNSYLVANIA ST
VALLEJO, CA 94590-6933
Phone number: 707-643-2715
Mailing Address
MR. DEWIGHT EDWIN WILSON RADT1
419 PENNSYLVANIA ST.
VALLEJO, CA 94590
Phone number: 707-643-2715
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