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Individual

CONSTANCE WILKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.H.C.

Contact information

Practice address
322 MAIN ST, THE CENTER FOR CHANGE, BREWSTER, MA 02631-1061
(508) 648-8105
Mailing address
322 MAIN ST., THE CENTER FOR CHANGE, BREWSTER, MA 02631-1061
(508) 648-8105

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5133
MA

Other

Enumeration date
02/12/2007
Last updated
11/01/2013
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