EARTHERN WILSON II

Social Worker

Active Individual
NPI: 1972665123

Practice Address

740 BECK AVE
Fairfield, CA 94533

Phone: (707) 784-6570

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes -

Frequently Asked Questions

NPI 1972665123 is the National Provider Identifier for EARTHERN WILSON II, a Social Worker provider located in Fairfield, CA. This NPI was enumerated on December 14, 2006.
EARTHERN WILSON II practices at 740 BECK AVE, Fairfield, CA 94533.

Quick Facts

NPI
1972665123
Type
Individual
Enumerated
Dec 14, 2006
Last Updated
Jul 8, 2007

Nearby Providers