Individual
MS. SARAH MICHELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS SCHOOL PSYCHOLOG
Contact information
Practice address
110 SCHOOL ROAD, MIRANDA, CA 95553
(707) 943-1789
(707) 943-1921
Mailing address
110 SCHOOL ROAD P.O. BOX 650, MIRANDA, CA 95553
(707) 943-1789
(707) 943-1921
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
240125724PPS
CA
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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