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1861097909
TRACY BRUCE WILSON
TUSKEGEE, AL
NPI
1861097909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AL 4885G)
Enumeration Date
2020-12-04
Last Update Date
2020-12-04
Business Address
TRACY BRUCE WILSON
2400 HOSPITAL RD
TUSKEGEE, AL 36083-5001
Phone number: 334-727-0550
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Mailing Address
TRACY BRUCE WILSON
6280 DEERWOOD DR
MONTGOMERY, AL 36117-4559
Phone number: 334-399-1036
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