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Mr. Samuel Carl Wilson, PRS
Peer Specialist in Willingboro, New Jersey
NPI 1881452019

Samuel Carl Wilson is a Peer Specialist based in Willingboro, NJ. Samuel Carl Wilson practices in Willingboro, NJ and has the professional credentials of PRS. The NPI Number for Samuel Carl Wilson is 1881452019 and holds a License No. (New Jersey).

The current practice location address for Samuel Carl Wilson is 15 Hawthorne Ln, Willingboro, NJ and can be reached out via phone at 609-470-4283.

Location: 15 Hawthorne Ln, Willingboro, NJ, 08046-1717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881452019
Provider Name
Samuel Carl Wilson
Credential
PRS
Provider Entity Type
Individual
Gender
Male
Address
15 Hawthorne Ln, Willingboro, NJ, 08046-1717
Phone Number
609-470-4283
Fax Number
Provider Enumeration Date
03/12/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
15 Hawthorne Ln
City
Willingboro
State
New Jersey
Zip
08046-1717
Phone Number
609-470-4283
Fax Number
person
Provider Business Mailing Address Details
Address
15 Hawthorne Ln
City
Willingboro
State
New Jersey
Zip
08046-1717
Phone Number
609-470-4283
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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