JENNIFER THERESA LOUISE WYLIE

PLYMOUTH, MA
NPI1417440074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-06-08
Last Update Date2018-10-02
Business Address
JENNIFER THERESA LOUISE WYLIE
1233 STATE RD
PLYMOUTH, MA 02360-5133
Phone number: 774-213-8448
Mailing Address
JENNIFER THERESA LOUISE WYLIE
72 KILBURN ST
NEW BEDFORD, MA 02740-7321
Phone number: 774-213-8448
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