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Individual

ELIZABETH WILCOSKY LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12 TYLER ST, SOMERVILLE, MA 02143-3241
(617) 629-3919
Mailing address
296 SUMMER ST # 1, SOMERVILLE, MA 02144-3114
(919) 636-0351

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
02/14/2020
Last updated
02/14/2020
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