MS. Susan A Wilson, MS

NPI #1891958336 in Jamaica Plain, Massachusetts

Provider Information

NPI Number: 1891958336
Entity Type: Individual
Name: MS. Susan A Wilson, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: MS
Enumeration Date: Jul 4, 2008
Last Updated: Jul 4, 2008

Practice Location

Address: 555 AMORY ST
City: Jamaica Plain
State: Massachusetts
ZIP Code: 02130-2652
Phone: (617) 383-6522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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