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1700909538
MARY JO WILSON
NEW YORK, NY
NPI
1700909538
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Former Name
MARY JO CASTRO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TP0016X Psychologist, Prescribing (Medical)
(Licence: NY 010284)
Enumeration Date
2007-04-08
Last Update Date
2007-07-08
Business Address
-- MARY JO WILSON Ph.D
315 W 57TH ST SUITE 402
NEW YORK, NY 10019-3158
Phone number: 212-757-6607
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Mailing Address
-- MARY JO WILSON Ph.D
484 W 43RD ST 44-M
NEW YORK, NY 10036-6319
Phone number: 212-564-1174
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