MR. Thomas L De Wildt, LCSW
NPI #1124038500 in Poway, California
Provider Information
- NPI Number
- 1124038500
- Entity Type
- Individual
- Name
- MR. Thomas L De Wildt, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15525 POMERADO RD
- Address 2
- SUITE A-7
- City
- Poway
- State
- California
- ZIP Code
- 92064-2435
- Phone
- (858) 279-1223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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