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1972929636
CLARENCE J WILSON
FLOWOOD, MS
NPI
1972929636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-03-05
Last Update Date
2014-03-05
Business Address
-- CLARENCE J WILSON
4209 LAKELAND DR STE 204
FLOWOOD, MS 39232-9212
Phone number: 919-389-2249
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Mailing Address
-- CLARENCE J WILSON
4209 LAKELAND DR STE 204
FLOWOOD, MS 39232-9212
Phone number: 919-389-2249
Copy
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