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Individual
JAMAL WILSON
Active
Individual
JAMAL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
225700000X
Massage Therapist
33.024863
OH
Other
Enumeration date
07/22/2020
Last updated
01/11/2023
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