Individual
LORI L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
415 WATER ST, ELLSWORTH, ME 04605-2116
(207) 667-5357
(207) 667-0174
Mailing address
415 WATER ST, ELLSWORTH, ME 04605-2116
(207) 667-5357
(207) 667-0174
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11886
ME
Other
Enumeration date
10/07/2009
Last updated
08/17/2015
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