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Individual
MR. DEREK JAMES WILSON
Active
Individual
MR. DEREK JAMES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003206
CT
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/27/2013
Last updated
10/02/2018
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