Wilson, Mary Mae Abigail
Wilson, Mary Mae Abigail is an individual health care provider with primary practice located at 125 W Plymouth Ave Ste D , Deland FL 32720-2745. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Mary Mae Abigail can be contacted via phone (352) 234-3804.Contact Information
Primary practice address
125 W Plymouth Ave Ste D
Deland FL 32720-2745
Phone: (352) 234-3804
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW18961 | Florida |
Profile Details
NPI number | 1952680860 |
---|---|
LBN Legal business name | Wilson, Mary Mae Abigail |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2011 |
Last updated | Jun 16th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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