Individual
MISS ELIZABETH ANN WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.G.C.
Contact information
Practice address
55 LAKE AVE N, RM. S1-710, WORCESTER, MA 01655-0002
(508) 334-0646
Mailing address
55 LAKE AVE N, RM. S1-710, WORCESTER, MA 01655-0002
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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