Most Relevant Information
Provider Data
NPI Number: | 1003537499 |
Provider Name: | SUSAN L WILEY LMSW-CC |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | MC21394 |
Most Important Dates
Enumeration Date: | 09/06/2022 |
Last Updated: | 09/06/2022 |
Provider Practice Location
199 MAIN ST
SACO
ME
040721508
Practice Location Phone/Fax
Phone: | 2075713008 |
Fax: | 2075713263 |
Provider Mailing Location
PO BOX 1189
SACO
ME
040721189
Provider Mailing Phone/Fax
Phone: | 2075713008 |
Fax: | 2075713263 |