Jessica Plourde Wilson, MSW LCSW

NPI #1104931997 in Fort Kent, Maine

Provider Information

NPI Number: 1104931997
Entity Type: Individual
Name: Jessica Plourde Wilson, MSW LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW LCSW
Enumeration Date: Aug 20, 2006
Last Updated: Mar 22, 2021

Practice Location

Address: 12 BOLDUC AVE
City: Fort Kent
State: Maine
ZIP Code: 04743-1602
Phone: (207) 834-3971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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