Individual
BROOKE PARKER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
200 SPRINGS ROAD, BEDFORD, MA 01730-1114
(781) 687-2000
Mailing address
14 TAFT ST, MARBLEHEAD, MA 01945-2440
(781) 883-7899
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
121459
MA
Other
Enumeration date
09/26/2010
Last updated
10/28/2024
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