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Organization
JEAN PAO WILSON, PH,D., LLC
Active
Organization
JEAN PAO WILSON, PH,D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN YUN PAO WILSON PH.D. (OWNER)
(413) 307-4777
Entity
Organization
Contact information
Practice address
247 NORTHAMPTON ST STE 7, EASTHAMPTON, MA 01027-1052
(413) 307-4777
Mailing address
PO BOX 1016, EASTHAMPTON, MA 01027-5016
(413) 307-4777
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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