Individual
MARNI WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8555 SW APPLE WAY STE 320, PORTLAND, OR 97225-1775
(877) 840-6956
(619) 383-6701
Mailing address
PO BOX 601422, SAN DIEGO, CA 92160-1422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L13773
OR
Other
Enumeration date
07/18/2011
Last updated
10/28/2024
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