Wayne Wilson Licensed Clinical Social Worker Inc.
NPI #1457148405 in Costa Mesa, California
Provider Information
- NPI Number
- 1457148405
- Entity Type
- Organization
- Organization Name
- Wayne Wilson Licensed Clinical Social Worker Inc.
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 23, 2025
- Last Updated
- Apr 23, 2025
Practice Location
- Address
- 605 TOWN CENTER DR.
- City
- Costa Mesa
- State
- California
- ZIP Code
- 92626
- Phone
- (949) 949-0009
Authorized Official
- Name
- KATELYN DUNGO
- Title
- HUMAN RESOURCES
- Phone
- (208) 869-8386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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