Chace Wilson

NPI #1952156200 in Central Islip, New York

Provider Information

NPI Number: 1952156200
Entity Type: Individual
Name: Chace Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Apr 20, 2024
Last Updated: Apr 20, 2024

Practice Location

Address: 320 CARLETON AVE
City: Central Islip
State: New York
ZIP Code: 11722-4506
Phone: (631) 663-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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