Individual
TANYA WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
16 PRESCOTT DRIVE, HINCKLEY, ME 04944
(207) 238-4000
Mailing address
PO BOX 159, HINCKLEY, ME 04944-0159
(207) 238-4000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC22502
ME
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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