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1881904944
DESARAY RAVEN WILSON
CORBIN, KY
NPI
1881904944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-10-07
Last Update Date
2010-10-07
Business Address
-- DESARAY RAVEN WILSON BS
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
-- DESARAY RAVEN WILSON BS
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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