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Individual

MS. MAYA JEAN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
925 ADELE AVE, BREMERTON, WA 98312-3521
(360) 782-0129
(360) 377-8029
Mailing address
925 ADELE AVE, BREMERTON, WA 98312-3521
(360) 782-0129
(360) 377-8029

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005134
WA

Other

Enumeration date
08/29/2006
Last updated
07/08/2007
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