Organization
JEAN PAO WILSON, PH,D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN YUN PAO WILSON PH.D. (OWNER)
(413) 307-4777
Entity
Organization
Contact information
Practice address
247 NORTHAMPTON ST STE 7, EASTHAMPTON, MA 01027-1052
(413) 307-4777
Mailing address
PO BOX 1016, EASTHAMPTON, MA 01027-5016
(413) 307-4777
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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