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MARK WILSON, CRPA PROVISIONAL
CRPA PROVISIONAL
Peer Specialist
NPI: 1770397853Individual
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Peer SpecialistPrimary
Peer Specialist
Code: 175T00000X
Contact & Hours
- Address
- 98 PINE NECK AVE
E PATCHOGUE, NY 11772 - Phone
- (631) 901-2767
Quick Facts
- NPI
- 1770397853
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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