Individual
ABIGAIL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 TOWN & COUNTRY RD, #1250, ORANGE, CA 92868
(480) 528-3910
Mailing address
455 SWARTHMORE LN, COSTA MESA, CA 92626-6130
(480) 528-3910
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
140478
CA
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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