Individual
MS. SUSAN M. WILMOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, LCADC
Contact information
Practice address
RR 1 BOX 1496, STROUDSBURG, PA 18360-9675
(570) 814-3358
Mailing address
PO BOX 483, DELAWARE WATER GAP, PA 18327-0483
(570) 814-3358
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00087300
NJ
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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