Individual
MARTHA A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 VILLAGE INN RD, WESTMINSTER, MA 01473-1643
(978) 571-1740
Mailing address
717 GREAT RD, STOW, MA 01775-1003
(978) 790-2895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13580
MA
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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