Individual
KATHLEEN J WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 CARLTON TER, WATERTOWN, MA 02472-3327
(781) 502-5951
Mailing address
15 CARLTON TER, WATERTOWN, MA 02472-3327
(178) 150-2595
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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