SHANE WILSON

FRESNO, CA
NPI1336314392
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW101415)
Enumeration Date2008-04-29
Last Update Date2021-08-25
Business Address
Mr. SHANE WILSON LCSW
5577 W BEECHWOOD AVE
FRESNO, CA 93722-2806
Phone number: 559-355-3633
Mailing Address
Mr. SHANE WILSON LCSW
5577 W BEECHWOOD AVE
FRESNO, CA 93722-2806
Phone number: 559-355-3633
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