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Individual

MR. MICHAEL WANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW,LADC1

Contact information

Practice address
1881 WORCESTER RD, FRAMINGHAM, MA 01701-5410
(508) 872-3333
Mailing address
35 PLEASANT ST, MILLIS, MA 02054-1408
(508) 376-8380

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1199
MA
104100000X
Social Worker
3032220
MA

Other

Enumeration date
12/28/2006
Last updated
12/30/2015
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