Kathleen E Wilson, LCSW

NPI #1871786251 in Sanford, Maine

Provider Information

NPI Number: 1871786251
Entity Type: Individual
Name: Kathleen E Wilson, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 20, 2007
Last Updated: Mar 17, 2018

Practice Location

Address: 25 DAIGLE LN STE 101
City: Sanford
State: Maine
ZIP Code: 04073-3961
Phone: (207) 619-0852

Specialties & Taxonomy Codes

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

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