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1073721007
DAN A WILSON
STOCKTON, CA
NPI
1073721007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS15333)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- DAN A WILSON LCSW
5250 CLAREMONT AVE STE 216
STOCKTON, CA 95207-5700
Phone number: 209-472-3763
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Mailing Address
-- DAN A WILSON LCSW
5250 CLAREMONT AVE STE 216
STOCKTON, CA 95207-5700
Phone number: 209-472-3763
Copy
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