Individual
ANTOINETTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
(413) 272-1333
Mailing address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN2389054
MA
Other
Enumeration date
03/23/2021
Last updated
04/03/2025
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