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Organization
RADY CHILDREN'S HOSPITAL
Active
Organization
RADY CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WILSON MSW (DIRECTOR)
(858) 576-1700
Entity
Organization
Contact information
Practice address
3020 CHILDRENS WAY, MC 5014, SAN DIEGO, CA 92123-4223
(858) 966-4011
(858) 278-2365
Mailing address
3020 CHILDREN'S WAY, MC 5014, SAN DIEGO, CA 92123-4282
(858) 966-4011
(858) 278-2365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 14677
CA
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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