NPI | 1841737673 |
---|---|
Professional Name | DOC WILSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW91441) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW75482) |
Enumeration Date | 2017-01-31 |
Last Update Date | 2024-08-08 |