Individual
MRS. BRIDGET BROWN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
3000 AUBURN BLVD, SUITE A, SACRAMENTO, CA 95821-1831
(916) 483-2154
(916) 483-2850
Mailing address
4543 LONGHORN ST, CARMICHAEL, CA 95608-1229
(916) 482-8983
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16773
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16773
ASW REGISTRATION NUMBER
CA
Enumeration date
04/12/2007
Last updated
07/08/2007
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