Individual
GAIL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 ROBBS HILL RD, LUNENBURG, MA 01462
(901) 270-1776
Mailing address
132 ROBBS HILL RD, LUNENBURG, MA 01462-2167
(774) 270-1766
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
07/23/2018
Last updated
07/30/2019
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