KELLY ANN WILSON

ALTADENA, CA
NPI1528619160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  104732)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  104732)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-09-25
Last Update Date2024-11-12
Business Address
Mrs. KELLY ANN WILSON
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4996
Phone number: 626-798-6793
Mailing Address
Mrs. KELLY ANN WILSON
867 N FAIR OAKS AVE
PASADENA, CA 91103-3050
Phone number: 626-798-6793