SHAVANNAH WILSON
Social Worker - Clinical
Active
Individual
NPI: 1295307098
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | No | 110321 (CA) |
| Social Worker - Clinical | 1041C0700X | Yes | 110321 (CA) |
Frequently Asked Questions
NPI 1295307098 is the National Provider Identifier for SHAVANNAH WILSON, a Social Worker - Clinical provider located in Long Beach, CA. This NPI was enumerated on July 12, 2021.
SHAVANNAH WILSON practices at 5150 E PACIFIC COAST HWY STE 100, Long Beach, CA 90804.
Quick Facts
- NPI
- 1295307098
- Type
- Individual
- Enumerated
- Jul 12, 2021
- Last Updated
- Jun 23, 2023
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