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1972853505
MELISSA WILSON
WHITE PLAINS, NY
NPI
1972853505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 561133111)
Enumeration Date
2012-09-11
Last Update Date
2012-09-14
Business Address
-- MELISSA WILSON
27 BARKER AVE APT 311
WHITE PLAINS, NY 10601-1558
Phone number: 845-489-2842
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Mailing Address
-- MELISSA WILSON
27 BARKER AVE APT 311
WHITE PLAINS, NY 10601-1558
Phone number: 845-489-2842
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