Individual
ALISSA CARRIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10428 LOWER AZUSA RD, EL MONTE, CA 91731-1208
(626) 453-3399
Mailing address
8255 VINEYARD AVE APT 1000A, RANCHO CUCAMONGA, CA 91730-7181
(909) 652-0271
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW 19612
CA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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