Individual
MACKENZIE MARIE-BROWN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
96 DANFORTH ST APT 13, TAUNTON, MA 02780-2360
(508) 315-2106
Mailing address
96 DANFORTH ST APT 13, TAUNTON, MA 02780-2360
(508) 315-2106
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
MA
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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