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1750032751
CHARLES WILSON
BROOKLYN, NY
NPI
1750032751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 34352)
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
CHARLES WILSON
810 CLASSON AVE
BROOKLYN, NY 11238-6102
Phone number: 718-230-5100
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Mailing Address
CHARLES WILSON
1 KEMP AVE
GLEN COVE, NY 11542-3525
Phone number: 516-412-5145
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