Individual
MISS ALEXA KIMBERLY WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 WASHINGTON ST, TAUNTON, MA 02780-3960
(508) 857-9166
Mailing address
196 BLUEJAY LN, EAST TAUNTON, MA 02718-5130
(508) 579-3386
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
226206
MA
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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