Individual
AMANDA WHEELOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 SUMMER ST STE 3B, KINGSTON, MA 02364-1275
(508) 962-5772
(508) 746-5031
Mailing address
161 SUMMER ST STE 3B, KINGSTON, MA 02364-1275
(508) 962-5772
(508) 746-5031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/03/2012
Last updated
10/26/2021
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