Individual
ANGELA MICHELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 CRAVENS AVE, TORRANCE, CA 90501-3203
(310) 328-0855
Mailing address
1617 CRAVENS AVE, TORRANCE, CA 90501-3203
(310) 328-0855
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC45200
CA
Other
Enumeration date
03/19/2007
Last updated
03/14/2023
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