LARRY WILSON

ROCKVILLE, MD
NPI1730571696
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  LCA461)
Enumeration Date2015-03-02
Last Update Date2015-03-02
Business Address
-- LARRY WILSON
15719 CRABBS BRANCH WAY
ROCKVILLE, MD 20855-2634
Phone number: 301-670-6161
Mailing Address
-- LARRY WILSON
15719 CRABBS BRANCH WAY
ROCKVILLE, MD 20855-2634
Phone number:
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