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1962700393
MICHELLE WILSON
LEMON GROVE, CA
NPI
1962700393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-03-09
Last Update Date
2011-03-09
Business Address
-- MICHELLE WILSON
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-0733
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Mailing Address
-- MICHELLE WILSON
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-0733
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