Individual
CYNTHIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7424 BRIDGEPORT WAY W STE 305, LAKEWOOD, WA 98499-8135
(253) 246-6820
Mailing address
7424 BRIDGEPORT WAY W STE 305, LAKEWOOD, WA 98499-8135
(253) 246-6820
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61253334
WA
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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