Dan A Wilson, LCSW

NPI #1073721007 in Stockton, California

Provider Information

NPI Number: 1073721007
Entity Type: Individual
Name: Dan A Wilson, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5250 CLAREMONT AVE STE 216
City: Stockton
State: California
ZIP Code: 95207-5700
Phone: (209) 472-3763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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