MARILYN GWEN WISE

BOSTON, MA
NPI1972631778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  105769)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
Prof. MARILYN GWEN WISE LICSW
55 FRUIT ST. WAC 037 MGH
BOSTON, MA 02114
Phone number: 617-726-2617
Mailing Address
Prof. MARILYN GWEN WISE LICSW
31 MOUNT VERNON ST
CAMBRIDGE, MA 02140-2702
Phone number: 617-497-4137