Individual
AMBER WICELINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 SCHOOL ST STE 104, FOXBORO, MA 02035-2318
(781) 355-6534
Mailing address
PO BOX 749, HAWLEYVILLE, CT 06440-0749
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
121220
MA
Other
Enumeration date
06/27/2016
Last updated
06/11/2020
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