MS. Carmen Wilson, MSW, LICSW

NPI #1104947696 in Oak Bluffs, Massachusetts

Provider Information

NPI Number: 1104947696
Entity Type: Individual
Name: MS. Carmen Wilson, MSW, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MSW, LICSW
Enumeration Date: Apr 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1 TRADEWINDS RD
Address 2: OAK BLUFFS
City: Oak Bluffs
State: Massachusetts
ZIP Code: 02557-1325
Phone: (508) 693-7403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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