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1841373792
KEITH B WILSON
STATE COLLEGE, PA
NPI
1841373792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC000512)
Enumeration Date
2006-10-23
Last Update Date
2011-10-10
Business Address
Dr. KEITH B WILSON Ph.D., CRC, LPC, NCC
119 S BURROWES ST SUITE 603
STATE COLLEGE, PA 16801-3863
Phone number: 814-237-1233
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Mailing Address
Dr. KEITH B WILSON Ph.D., CRC, LPC, NCC
109 BERWICK DR
BOALSBURG, PA 16827-1611
Phone number: 814-466-7577
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