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1851565568
CORNELIUS AL WILSON
DETROIT, MI
NPI
1851565568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-04-15
Last Update Date
2008-04-15
Business Address
Mr. CORNELIUS AL WILSON
15805 BAYLIS ST STE # 101
DETROIT, MI 48238-3915
Phone number: 313-341-1777
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Mailing Address
Mr. CORNELIUS AL WILSON
5440 CASS AVE STE # 1209
DETROIT, MI 48202-3668
Phone number: 313-942-2803
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