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1700434636
BENJAMIN MARTIN WILSON
LOUISVILLE, KY
NPI
1700434636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: KY 248552)
Enumeration Date
2019-09-04
Last Update Date
2019-09-04
Business Address
BENJAMIN MARTIN WILSON
4010 DUPONT CIR STE 582
LOUISVILLE, KY 40207-4888
Phone number: 502-899-5411
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Mailing Address
BENJAMIN MARTIN WILSON
17313 CURRY BRANCH RD
LOUISVILLE, KY 40245-7501
Phone number: 502-930-5745
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