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1851168801
ANGELIQUE EMILY WILSON
FORT WAYNE, IN
NPI
1851168801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
Ms. ANGELIQUE EMILY WILSON
6030 E STATE BLVD
FORT WAYNE, IN 46815-7639
Phone number: 260-245-6374
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Mailing Address
Ms. ANGELIQUE EMILY WILSON
6030 E STATE BLVD
FORT WAYNE, IN 46815-7639
Phone number: 260-245-6374
Copy
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