Individual
VICKI WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
35 PEARL ST, BROCKTON, MA 02301-2866
(508) 580-3637
Mailing address
22 TROWBRIDGE CIR, STOUGHTON, MA 02072-1024
(617) 818-5704
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
327
MA
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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