Individual
CLAIRE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
377 JERSEY AVE, JERSEY CITY, NJ 07302-4393
(201) 499-3900
Mailing address
377 JERSEY AVE, JERSEY CITY, NJ 07302-4393
(201) 499-3900
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
59106
NJ
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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