Individual
WENDY CORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
5 COMMERCE DR, SKOWHEGAN, ME 04976-4823
(207) 474-8311
(207) 474-5148
Mailing address
5 COMMERCE DR, SKOWHEGAN, ME 04976-4823
(207) 474-8311
(207) 474-5148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4644
ME
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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