Demetris Wilson

NPI #1508174004 in Victorville, California

Provider Information

NPI Number: 1508174004
Entity Type: Individual
Name: Demetris Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 17, 2010
Last Updated: Sep 17, 2010

Practice Location

Address: 16460 VICTOR ST
City: Victorville
State: California
ZIP Code: 92395-3918
Phone: (760) 245-8837

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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