Individual
ELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 SUMMER ST, SOMERVILLE, MA 02143-2706
(617) 284-5130
Mailing address
125 ORCHARD ST APT 1, SOMERVILLE, MA 02144-3058
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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