Individual
DR. MOLLI MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
17121 SE 270TH PL, SUITE 205, COVINGTON, WA 98042
(425) 413-8970
(253) 638-7465
Mailing address
PO BOX 402, MAPLE VALLEY, WA 98038
(425) 413-8970
(253) 638-7465
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00003780
WA
1041C0700X
Clinical Social Worker
LW00005493
WA
Other
Enumeration date
01/31/2007
Last updated
02/05/2010
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