JERRY W WILSON

LONG BEACH, CA
NPI1801204870
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT80024)
Enumeration Date2014-07-23
Last Update Date2014-07-23
Business Address
-- JERRY W WILSON LMFT
1232 E WARDLOW RD
LONG BEACH, CA 90807-4833
Phone number: 562-310-6884
Mailing Address
-- JERRY W WILSON LMFT
1232 E WARDLOW RD
LONG BEACH, CA 90807-4833
Phone number: 562-310-6884
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