WILTON JAN WIELENGA

STOCKTON, CA
NPI1528126703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS 5681)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
Mr. WILTON JAN WIELENGA LCSW
1755 W HAMMER LANE SUITE 1
STOCKTON, CA 95209-2900
Phone number: 209-477-9180
Mailing Address
Mr. WILTON JAN WIELENGA LCSW
1755 W HAMMER LANE SUITE 1
STOCKTON, CA 95209-2900
Phone number: 209-477-9180
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