Individual
CARLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PPS
Contact information
Practice address
33000 YUCAIPA BLVD, YUCAIPA, CA 92399-1951
(909) 797-0106
Mailing address
33000 YUCAIPA BLVD, YUCAIPA, CA 92399-1951
(909) 797-0106
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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