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Individual
DENISE WILSON
Active
Individual
DENISE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO 60509166
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60772363
WA
Other
Enumeration date
10/14/2016
Last updated
01/30/2019
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