Individual
BRENDA MICHELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 POLLARD RD, NORTHBRIDGE, MA 01534-1063
(508) 479-8588
Mailing address
229 POLLARD RD, NORTHBRIDGE, MA 01534-1063
(508) 479-8588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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