Organization
JED WILSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JED WILSON LCSW (OWNER)
(207) 209-4477
Entity
Organization
Contact information
Practice address
350 FOXBORO RD, LOVELL, ME 04051-3514
(207) 209-4477
Mailing address
PO BOX 64, LOVELL, ME 04051-0064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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