Sophia Rachelle Wilson, NONE
NPI #1811138456 in San Pablo, California
Provider Information
- NPI Number
- 1811138456
- Entity Type
- Individual
- Name
- Sophia Rachelle Wilson, NONE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- NONE
- Enumeration Date
- Mar 11, 2009
- Last Updated
- Mar 11, 2009
Practice Location
- Address
- 2853 GROOM DR
- City
- San Pablo
- State
- California
- ZIP Code
- 94806-2664
- Phone
- (510) 222-3946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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