Individual
ANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4484 W POINT LOMA BLVD, APT. 6, SAN DIEGO, CA 92107-1086
(650) 773-5873
Mailing address
4484 W POINT LOMA BLVD, APT. 6, SAN DIEGO, CA 92107-1086
(650) 773-5873
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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