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1942759816
JERELYN WILSON
RUSTON, LA
NPI
1942759816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-10-03
Last Update Date
2016-10-03
Business Address
-- JERELYN WILSON
206 E REYNOLDS DR STE F
RUSTON, LA 71270-2873
Phone number: 318-254-7050
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Mailing Address
-- JERELYN WILSON
206 E REYNOLDS DR STE F
RUSTON, LA 71270-2873
Phone number: 318-254-7050
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