MRS. Mellisa Marie Wilson, LCSW

NPI #1033134523 in Mcclellan, California

Provider Information

NPI Number: 1033134523
Entity Type: Individual
Name: MRS. Mellisa Marie Wilson, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jul 13, 2006
Last Updated: Oct 11, 2012

Practice Location

Address: 5342 DUDLEY BLVD
City: Mcclellan
State: California
ZIP Code: 95652-1012
Phone: (916) 561-7708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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