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Gina Wilburn, LPC, LMFT

Occupational Therapist in Fremont, CA. Individual provider (NPI-1).

NPI number1720220155
StatusActive
Last updated in NPPESMar 31, 2009

Details

NPI
1720220155
Entity type
Individual (NPI-1)
Name
Gina Wilburn
Credential
LPC, LMFT
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 31, 2009
Last updated
Mar 31, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist2342CAYes

Practice location

4277 Tehama Ave
Fremont, CA 94538-2636

Phone 510-366-0908

Mailing address

4277 Tehama Ave
Fremont, CA 94538-2636

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