DR. Molli Marie Wilson, PHD

NPI #1639216120 in Covington, Washington

Provider Information

NPI Number: 1639216120
Entity Type: Individual
Name: DR. Molli Marie Wilson, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jan 31, 2007
Last Updated: Feb 5, 2010

Practice Location

Address: 17121 SE 270TH PL
Address 2: SUITE 205
City: Covington
State: Washington
ZIP Code: 98042
Phone: (425) 413-8970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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Organizations

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