Individual
KIMBERLY ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 MOODY ST, SACO, ME 04072-1536
(508) 343-0668
Mailing address
PO BOX 75, MADISON, ME 04950-0075
(508) 343-0668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ME
Other
Enumeration date
11/08/2023
Last updated
03/08/2024
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