Susan Michelle Wilson, LICSW
NPI #1972710861 in Pembroke, Massachusetts
Provider Information
- NPI Number
- 1972710861
- Entity Type
- Individual
- Name
- Susan Michelle Wilson, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- May 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 24 CHAMPION WAY
- City
- Pembroke
- State
- Massachusetts
- ZIP Code
- 02359-2637
- Phone
- (781) 293-6613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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