Individual
MRS. LISA NANCY WILMOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BAHS
Contact information
Practice address
59 OLD COUNTY RD, ROCKPORT, ME 04856-4007
(207) 542-7649
Mailing address
59 OLD COUNTY RD, ROCKPORT, ME 04856-4007
(207) 542-7649
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
APPLIED
ME
Other
Enumeration date
08/31/2022
Last updated
05/19/2023
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