STEPHANIE BAISA WILSON

SAN LUIS OBISPO, CA
NPI1194187369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  37799)
Enumeration Date2016-03-25
Last Update Date2016-03-25
Business Address
Mrs. STEPHANIE BAISA WILSON LMFT
1190 MARSH ST STE A
SAN LUIS OBISPO, CA 93401-3332
Phone number: 805-234-4484
Mailing Address
Mrs. STEPHANIE BAISA WILSON LMFT
1190 MARSH ST STE A
SAN LUIS OBISPO, CA 93401-3332
Phone number: 805-234-4484