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1730335035
SHIRLEY MARIE WILSON
NEW YORK, NY
NPI
1730335035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 20123)
Enumeration Date
2008-08-18
Last Update Date
2008-08-18
Business Address
Ms. SHIRLEY MARIE WILSON C.A.S.A.C.
500 8TH AVE 3RD FLOOR
NEW YORK, NY 10018-6504
Phone number: 212-904-1500
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Mailing Address
Ms. SHIRLEY MARIE WILSON C.A.S.A.C.
25307 148TH DR
ROSEDALE, NY 11422-2815
Phone number: 718-413-2372
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