Individual
SUSANNE RATCLIFFE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
3948 BEN WALTERS LN, HOMER, AK 99603-7708
(907) 235-0318
(907) 235-0305
Mailing address
3948 BEN WALTERS LN, HOMER, AK 99603-7708
(907) 235-0318
(907) 235-0305
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC37587
CA
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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