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Individual
MR. SCOTT TIMOTHY WILSON
Active
Individual
MR. SCOTT TIMOTHY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ASW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW136134
CA
1041C0700X
Clinical Social Worker
Primary
ASW92869
CA
Other
Enumeration date
07/11/2025
Last updated
03/12/2026
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