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Individual

BRYANT WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LMHC

Contact information

Practice address
47 E GROVE ST STE 101, MIDDLEBORO, MA 02346-1816
(508) 927-1955
Mailing address
47 E GROVE ST STE 101, MIDDLEBORO, MA 02346-1816
(508) 927-1955

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10004964
MA

Other

Enumeration date
08/31/2016
Last updated
11/13/2025
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