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1801805072
CAROL A WILSON
JAMAICA PLAIN, MA
NPI
1801805072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MA 517)
Enumeration Date
2006-08-05
Last Update Date
2024-09-14
Business Address
CAROL A WILSON MS
75 BICKFORD ST
JAMAICA PLAIN, MA 02130-1401
Phone number: 617-971-2103
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Mailing Address
CAROL A WILSON MS
172 BRUSH HILL RD
MILTON, MA 02186-1115
Phone number: 617-698-9787
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