Individual
MS. JESSICA CAMERON BUTLER DEWILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2946 CEYLON DR, COSTA MESA, CA 92626-3641
(714) 875-7261
Mailing address
3359 NEVADA AVE, COSTA MESA, CA 92626-2021
(714) 875-7261
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
65326
CA
104100000X
Social Worker
—
—
Other
Enumeration date
09/24/2009
Last updated
01/25/2023
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