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1902118409
RICHARD WILSON
SANTA FE, NM
NPI
1902118409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0132231)
Enumeration Date
2010-07-13
Last Update Date
2010-07-13
Business Address
-- RICHARD WILSON LPCC
1421 LUISA ST STE C
SANTA FE, NM 87505-4073
Phone number: 505-231-4804
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Mailing Address
-- RICHARD WILSON LPCC
1421 LUISA ST STE C
SANTA FE, NM 87505-4073
Phone number: 505-231-4804
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