Antwain Wilson
NPI #1114320611 in Lancaster, California
Provider Information
- NPI Number
- 1114320611
- Entity Type
- Individual
- Name
- Antwain Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 29, 2014
- Last Updated
- Sep 29, 2014
Practice Location
- Address
- 5300 W AVENUE I
- City
- Lancaster
- State
- California
- ZIP Code
- 93536-8312
- Phone
- (661) 940-4052
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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