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1801204870
JERRY W WILSON
LONG BEACH, CA
NPI
1801204870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT80024)
Enumeration Date
2014-07-23
Last Update Date
2014-07-23
Business Address
-- JERRY W WILSON LMFT
1232 E WARDLOW RD
LONG BEACH, CA 90807-4833
Phone number: 562-310-6884
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Mailing Address
-- JERRY W WILSON LMFT
1232 E WARDLOW RD
LONG BEACH, CA 90807-4833
Phone number: 562-310-6884
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