Individual
GABRIEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11410 NE 122ND WAY STE 100, KIRKLAND, WA 98034-6927
(425) 650-4005
Mailing address
17313 SE 47TH ST, BELLEVUE, WA 98006-6536
(206) 948-5823
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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