Individual
CHRISTINA M. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
474 MAIN ST, SPRINGVALE, ME 04083-1409
(207) 324-1500
(207) 490-5263
Mailing address
300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
(207) 661-2018
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC15221
ME
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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