Individual
MR. ANTHONY LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
356B BROAD ST, FITCHBURG, MA 01420-3054
(508) 856-1380
(978) 342-2537
Mailing address
356B BROAD ST, FITCHBURG, MA 01420-3054
(508) 856-1380
(978) 342-2537
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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