Individual
RUTH A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
563 MAIN STREET, BOLTON, MA 01740-1300
(978) 779-6505
(978) 779-0211
Mailing address
563 MAIN STREET, BOLTON, MA 01740-1300
(978) 779-6505
(978) 779-0211
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1017004
MA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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