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1699965145
TIMOTHY DECARLO WILSON
SAN LEANDRO, CA
NPI
1699965145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-07-31
Last Update Date
2007-07-31
Business Address
Mr. TIMOTHY DECARLO WILSON
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-481-1222
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Mailing Address
Mr. TIMOTHY DECARLO WILSON
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-481-1222
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