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Individual
ROBERT WILSON
Active
Individual
ROBERT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60876047
WA
Other
Enumeration date
01/13/2020
Last updated
11/27/2023
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