Individual
MS. DEVENA WILSON-TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5740 RALSTON ST STE 200, VENTURA, CA 93003-6009
(805) 289-3170
Mailing address
362 HURST AVE, VENTURA, CA 93001-3419
(805) 289-3170
(805) 289-3202
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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