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Individual

TAYLOR CAPATHIA WILMOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AMFT

Contact information

Practice address
444 34TH ST, OAKLAND, CA 94609-2816
(415) 562-6376
Mailing address
341 TIDEWAY DR APT 111, ALAMEDA, CA 94501-3547

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
121069
CA

Other

Enumeration date
03/23/2022
Last updated
03/23/2022
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