Individual
LUKE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2560 SKYWAY DR, SANTA MARIA, CA 93455-1507
(805) 922-4573
Mailing address
2560 SKYWAY DR, SANTA MARIA, CA 93455-1507
(805) 922-4573
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
220171096
CA
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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