Individual
MS. CYNTHIA L. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 PACIFIC AVE, TACOMA, WA 98418-7915
(253) 798-4500
(253) 798-4255
Mailing address
3580 PACIFIC AVE, TACOMA, WA 98418-7915
(253) 798-4500
(253) 798-4255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RC00029226
WA
1041C0700X
Clinical Social Worker
Primary
LW00008209
WA
Other
Enumeration date
07/13/2007
Last updated
02/13/2008
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