Marisa Wilson

NPI #1114337367 in Jamaica Plain, Massachusetts

Provider Information

NPI Number: 1114337367
Entity Type: Individual
Name: Marisa Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 28, 2014
Last Updated: Aug 29, 2014

Practice Location

Address: 31 HEATH ST
City: Jamaica Plain
State: Massachusetts
ZIP Code: 02130-1650
Phone: (617) 824-5852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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