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Individual

STANLEY WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A,

Contact information

Practice address
8 BUSTER RDG, SANTA FE, NM 87505-9594
(505) 466-2156
Mailing address
8 BUSTER RDG, SANTA FE, NM 87505-9594
(505) 466-2156

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
L.P.C.C.#2767
NM

Other

Enumeration date
09/07/2014
Last updated
09/07/2014
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