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1194187369
STEPHANIE BAISA WILSON
SAN LUIS OBISPO, CA
NPI
1194187369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 37799)
Enumeration Date
2016-03-25
Last Update Date
2016-03-25
Business Address
Mrs. STEPHANIE BAISA WILSON LMFT
1190 MARSH ST STE A
SAN LUIS OBISPO, CA 93401-3332
Phone number: 805-234-4484
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Mailing Address
Mrs. STEPHANIE BAISA WILSON LMFT
1190 MARSH ST STE A
SAN LUIS OBISPO, CA 93401-3332
Phone number: 805-234-4484
Copy
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