Most Relevant Information
Provider Data
| NPI Number: | 1003307356 |
| Provider Name: | JASMINE WILSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 99171 |
Most Important Dates
| Enumeration Date: | 05/22/2018 |
| Last Updated: | 03/17/2024 |
Provider Practice Location
265 S RANDOLPH AVE STE 185
BREA
CA
928215702
Practice Location Phone/Fax
| Phone: | 9093759162 |
| Fax: | 9092452758 |
Provider Mailing Location
15245 BEARTREE ST
FONTANA
CA
923364435
Provider Mailing Phone/Fax
| Phone: | 9093759162 |
| Fax: | 9092452758 |