Individual
ELIZABETH A WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW-C
Contact information
Practice address
22 ARMORY ST, AUGUSTA, ME 04330-6258
(207) 622-0452
(207) 622-0453
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1235
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LSX11084
ME
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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