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Individual

MRS. JENNIFER M WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2 HEMLOCK DR, STAMFORD, CT 06902-1811
(203) 964-9646
(203) 964-9646
Mailing address
2 HEMLOCK DR., STAMFORD, CT 06902
(203) 964-9646
(203) 964-9646

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
002096
CT

Other

Enumeration date
12/06/2012
Last updated
07/29/2022
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