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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MELLISA MARIE WILSON, LCSW

Active Sole Proprietor

MRS. MELLISA MARIE WILSON, LCSW is a Social Worker healthcare provider located in MCCLELLAN, California. NPI 1033134523 is currently active in the NPPES registry. Verify at CMS.

Social Worker · MCCLELLAN, CA

Registration Details

NPI Number
1033134523
Provider Type
Individual
Gender
Female
NPI Issued
Jul 13, 2006 (19.904584578788 yrs)
Last Updated
Oct 11, 2012
License
LCS 22912 (CA)
Sole Proprietor
Yes

Practice Information

Address
5342 DUDLEY BLVD
MCCLELLAN, CA, 956521012
Browse CA providers · Browse ZIP 95652
Phone
9165617708
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in MCCLELLAN, CA

Name Credential NPI
JENNIFER FALLMAN 1891968418
SUZANNE TRYGAR 1134476708
MARISA SALAS SILVA MSW 1902231897
MARY KAY SHASTID ASW 1871915413
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.