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1740903962
EMERY JAMES WILSON
SOUTH PORTLAND, ME
NPI
1740903962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME ad8146)
Enumeration Date
2022-09-22
Last Update Date
2022-09-22
Business Address
EMERY JAMES WILSON ADCA
400 WESTERN AVE
SOUTH PORTLAND, ME 04106-1704
Phone number: 207-774-7111
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Mailing Address
EMERY JAMES WILSON ADCA
6 TIMBUKTU DR
CASCO, ME 04015-3400
Phone number: 207-890-2014
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