Most Relevant Information
Provider Data
| NPI Number: | 1003278763 |
| Provider Name: | CASSANDRA E WILSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | LF61100829 |
Most Important Dates
| Enumeration Date: | 03/22/2016 |
| Last Updated: | 04/20/2022 |
Provider Practice Location
6109 55TH AVE NE
MARYSVILLE
WA
982704107
Practice Location Phone/Fax
| Phone: | 4253502188 |
| Fax: |
Provider Mailing Location
6109 55TH AVE NE
MARYSVILLE
WA
982704107
Provider Mailing Phone/Fax
| Phone: | 4253502188 |
| Fax: |