Individual
DONALD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
94 S MAIN ST, MIDDLEBORO, MA 02346-2123
(508) 947-6100
Mailing address
12 SHAGGY PINE RD, WEST HARWICH, MA 02671-1608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
018021
—
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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