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 |