RUTH BERNICE WILSON

GARY, IN
NPI1700265659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-05-26
Last Update Date2015-05-26
Business Address
-- RUTH BERNICE WILSON MS
1110 W 5TH AVE
GARY, IN 46402-1723
Phone number: 219-885-4264
Mailing Address
-- RUTH BERNICE WILSON MS
1110 W 5TH AVE
GARY, IN 46402-1723
Phone number: 219-885-4264
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