Individual
ALEXANDRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
10 ASYLUM ST, MILFORD, MA 01757-2203
(508) 469-3161
Mailing address
10 ASYLUM ST, MILFORD, MA 01757-2203
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
000225282
MA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
125257
MA
Other
Enumeration date
09/04/2018
Last updated
07/26/2022
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