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Individual

HOUSTON EDWARD WYLLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ASW

Contact information

Practice address
601 N MARKET BLVD, SACRAMENTO, CA 95834-1200
(916) 283-8280
Mailing address
601 N MARKET BLVD, SACRAMENTO, CA 95834-1200
(916) 283-8280

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
62782
CA

Other

Enumeration date
09/08/2014
Last updated
09/08/2014
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