Individual
DANIELLE NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LEP
Contact information
Practice address
978 2ND ST STE 200, LAFAYETTE, CA 94549-4545
(925) 386-6037
Mailing address
326 VIA CORDOVA LN, MARTINEZ, CA 94553-4060
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4370
CA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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