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Individual

DR. JEAN PAO WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
117 PARK AVE STE 205, WEST SPRINGFIELD, MA 01089-3371
(413) 732-7677
(413) 732-7688
Mailing address
117 PARK AVE STE 205, WEST SPRINGFIELD, MA 01089-3371
(413) 732-7677
(413) 732-7688

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7891
MA

Other

Enumeration date
08/24/2016
Last updated
09/14/2016
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