Individual
ALEXANDRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 LIZZY LN, RUTLAND, MA 01543-1257
(443) 618-0595
Mailing address
39 SEMINOLE DR, WORCESTER, MA 01603-1546
(443) 618-0595
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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