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Individual
DR. PAUL THOMAS WILSON
Active
Individual
DR. PAUL THOMAS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LMFT, LSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000877A
IN
104100000X
Social Worker
33002523A
IN
106H00000X
Marriage & Family Therapist
35001054A
IN
Other
Enumeration date
05/23/2007
Last updated
11/12/2009
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