Individual
AMANDA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74 JANE AVE, FITCHBURG, MA 01420-6136
(978) 870-2399
Mailing address
74 JANE AVE, FITCHBURG, MA 01420-6136
(978) 870-2399
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW224063
MA
Other
Enumeration date
05/14/2014
Last updated
07/06/2023
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