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1922624196
MICHELLE WILSON
TRABUCO CANYON, CA
NPI
1922624196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci06351016)
Enumeration Date
2020-06-23
Last Update Date
2020-09-28
Business Address
MICHELLE WILSON CADC I
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Phone number: 818-582-8832
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Mailing Address
MICHELLE WILSON CADC I
27091 PINARIO
MISSION VIEJO, CA 92692-3204
Phone number: 949-619-0209
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