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NPI Profile for TERESA L WILSON in LUCERNE, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Case Manager/Care Coordinator |
171M00000X |
| NPI Number | 1245682392 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/12/2016 | |
| Last updated | 04/11/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TERESA L WILSON
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TERESA L WILSON