ELLIOT GEORGE WINGFIELD

RANCHO CORDOVA, CA
NPI1508581257
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2022-10-05
Last Update Date2022-10-06
Business Address
ELLIOT GEORGE WINGFIELD
10390 COLOMA RD
RANCHO CORDOVA, CA 95670-2152
Phone number: 187-791-0653
Mailing Address
ELLIOT GEORGE WINGFIELD
1200 CONCORD AVE STE 100
CONCORD, CA 94520-4969
Phone number: 187-791-0653
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