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1710026729
ERNEST DANIEL WILSON
COLUMBIA, SC
NPI
1710026729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
-- ERNEST DANIEL WILSON
1800 COLONIAL DR IMPACT
COLUMBIA, SC 29203-6827
Phone number: 803-898-8133
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Mailing Address
-- ERNEST DANIEL WILSON
211 STUCAWA DR
COLUMBIA, SC 29210-6516
Phone number: 803-561-0345
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