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  5. Mr. Stanley B. Wilson CAC-AD
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Mr. Stanley B. Wilson CAC-AD

Addiction (Substance Use Disorder) Counselor in Baltimore, MD(View on Map)

Full Name

Mr. Stanley Brewster Wilson CAC-AD

NPI Number

1083871990

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/19/2008

Specialties

(Taxonomies)

Name

Addiction (Substance Use Disorder) Counselor

Code

101YA0400X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

AC1048

Contact
Information

Purpose

Mailing
Location

Address

1501 DIVISION ST
1501 DIVISION ST

City

Baltimore
Baltimore

State

MD
MD

Postal Code

21217-3121
21217-3121

Country

US
US

Telephone Number

(410) 383-7169
(410) 383-7169

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/19/2008

Provider Address

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