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1861527913
ELISABETH MELLIE WILSON
TURLOCK, CA
NPI
1861527913
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Professional Name
LIS WILSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC42817)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Mrs. ELISABETH MELLIE WILSON MFT
125 N BROADWAY SUITE 2H
TURLOCK, CA 95380-4811
Phone number: 209-632-0565
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Mailing Address
Mrs. ELISABETH MELLIE WILSON MFT
125 N BROADWAY SUITE 2H
TURLOCK, CA 95380-4811
Phone number: 209-632-0565
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