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Individual

CHRISTIE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
610 WAMPANOAG TRL, RIVERSIDE, RI 02915-1504
(401) 431-9870
(401) 438-1957
Mailing address
610 WAMPANOAG TRL, RIVERSIDE, RI 02915-1504
(401) 431-9870
(401) 438-1957

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
106H00000X
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CW54634
RI
Enumeration date
05/07/2007
Last updated
04/29/2011
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