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Individual
MAURINA WILSON
Active
Individual
MAURINA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDP, LADC, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22905
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00950
RI
Other
Enumeration date
11/24/2025
Last updated
01/08/2026
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