Individual
CARLY KRISTEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730
(781) 687-2000
Mailing address
200 SPRINGS RD, BEDFORD, MA 01730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120019
MA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/26/2014
Last updated
03/24/2020
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