Individual
MS. NATASHA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1085 W. VICTORIA STREET, COMPTON, CA 90220
(310) 868-5379
(310) 868-5379
Mailing address
2601 E VICTORIA ST, SP 173, COMPTON, CA 90220-6016
(310) 638-7915
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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