Individual
MRS. CONSTANCE BERTHEA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 WILSON AVE, C, NATIONAL CITY, CA 91950-5515
(619) 477-0757
(619) 477-0799
Mailing address
1877 MANZANA WAY, SAN DIEGO, CA 92139-4041
(619) 470-0108
(619) 470-3440
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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