Individual
GEORGIA WINGBLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1274 CURRAN HWY, NORTH ADAMS, MA 01247-3907
(413) 664-9024
Mailing address
1274 CURRAN HWY, NORTH ADAMS, MA 01247-3907
(413) 664-9024
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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