Maya Jean Wilson, LICSW
Social Worker, Clinical in Bremerton, WA. Individual provider (NPI-1).
NPI number1174632905
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174632905
- Entity type
- Individual (NPI-1)
- Name
- Ms. Maya Jean Wilson
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LW00005134 | WA | Yes |
Practice location
925 Adele AveBremerton, WA 98312-3521
Phone 360-782-0129 · Fax 360-377-8029
Mailing address
925 Adele AveBremerton, WA 98312-3521
Phone 360-782-0129 · Fax 360-377-8029
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 72 Clinical Social Worker providers in Bremerton · All 3,530 providers in Bremerton
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