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Contact Information

MOLLI M WILSON, PHD
17121 SE 270TH PL
SUITE 205
COVINGTON, WA98042
 Phone: 425-413-8970
 Fax: 253-638-7465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MOLLI M WILSON · (Female)

NPI # 1639216120
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/31/2007
Last updated 02/05/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # LW00005493
  • WA License # PY00003780
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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