Individual
PATRICK WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
250 CROSS RD, RICHMOND, MA 01254-1000
(203) 885-2753
Mailing address
250 CROSS RD, RICHMOND, MA 01254-1000
(203) 885-2753
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MA
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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