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Individual

MONICA LORAINE WILT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
11602 BEDFORD RD NE, CUMBERLAND, MD 21502-6805
(240) 362-7077
Mailing address
1315 ELLA AVE, CUMBERLAND, MD 21502-4714
(301) 707-1963

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R185747
MD

Other

Enumeration date
01/17/2023
Last updated
01/17/2023
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