Individual
TAYLOR WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98 PARK ST, NEW HAVEN, CT 06511-5498
(203) 848-3061
Mailing address
30 STONEYCREST DR APT 14, MIDDLETOWN, CT 06457-6422
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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