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1982211322
BRENDA BIVENS WILSON, LLC
BALTIMORE, MD
NPI
1982211322
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Entity Type
Organization
Authorized Contact
BRENDA B. WILSON
Owner
410-336-2937
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-09-29
Last Update Date
2021-03-12
Business Address
BRENDA BIVENS WILSON, LLC
1726 BOLTON ST
BALTIMORE, MD 21217-4904
Phone number: 443-525-0724
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Mailing Address
BRENDA BIVENS WILSON, LLC
1726 BOLTON ST
BALTIMORE, MD 21217-4904
Phone number: 443-525-0724
Copy
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