Individual
MARY D WEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
55 CHERRY LN, WAKEFIELD, RI 02879-3617
(401) 789-1367
(401) 364-7705
Mailing address
4705A OLD POST RD, CHARLESTOWN, RI 02813-1819
(401) 364-7705
(401) 364-9104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
02/02/2012
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