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1245457761
KIMBERLY WILSON
DIAMOND SPRINGS, CA
NPI
1245457761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA MFT19855)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
Ms. KIMBERLY WILSON LMFT
6692 MERCHANDISE WAY STE B
DIAMOND SPRINGS, CA 95619-9453
Phone number: 530-626-2589
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Mailing Address
Ms. KIMBERLY WILSON LMFT
2827 SILVERCREST ST
PLACERVILLE, CA 95667-3459
Phone number: 530-626-5919
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