STEPHEN WILSON

LOS ANGELES, CA
NPI1902448038
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  r1367131019)
Enumeration Date2019-10-10
Last Update Date2019-10-10
Business Address
STEPHEN WILSON
5318 CRENSHAW BLVD
LOS ANGELES, CA 90043-1810
Phone number: 323-293-6291
Mailing Address
STEPHEN WILSON
5318 CRENSHAW BLVD
LOS ANGELES, CA 90043-1810
Phone number: 323-293-6291
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