KELLY ANN WILSON

POMONA, 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 Date2023-09-06
Business Address
Mrs. KELLY ANN WILSON
831 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-279-6516
Mailing Address
Mrs. KELLY ANN WILSON
831 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-279-6516