Individual
ANTHONY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 HIGH ST, SUITE 20, SPRINGFIELD, MA 01199-1006
(413) 495-1500
Mailing address
140 HIGH ST, SUITE 20, SPRINGFIELD, MA 01199-1006
(413) 495-1500
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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