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1790008340
REGINE WILSON
NEVADA CITY, CA
NPI
1790008340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS22580)
Enumeration Date
2010-03-10
Last Update Date
2010-03-10
Business Address
Mrs. REGINE WILSON LCSW
604 REDBUD WAY
NEVADA CITY, CA 95959-2157
Phone number: 530-913-5129
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Mailing Address
Mrs. REGINE WILSON LCSW
604 REDBUD WAY
NEVADA CITY, CA 95959-2157
Phone number: 530-913-5129
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