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1881953438
TRACY WILSON
COLUMBUS, GA
NPI
1881953438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2012-05-16
Last Update Date
2012-05-16
Business Address
TRACY WILSON
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-323-0174
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Mailing Address
TRACY WILSON
285 SANDY POINT RD
EUFAULA, AL 36027-8804
Phone number: 334-803-2967
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