| Mary Ann Wilson Lcsw Pllc | |
|
2130 Five Mile Line Rd Penfield NY 14526-2292 | |
| (585) 270-1119 | |
| Not Available |
| Full Name | Mary Ann Wilson Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2130 Five Mile Line Rd, Penfield, New York |
| Authorized Official Name and Position | Mary Ann Wilson (LCSW PLLC) |
| Authorized Official Contact | 5856900890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Wilson Lcsw Pllc 505 Ridgemont Dr Rochester NY 14626-3444 Ph: () - | Mary Ann Wilson Lcsw Pllc 2130 Five Mile Line Rd Penfield NY 14526-2292 Ph: (585) 270-1119 |
| NPI Number | 1992529762 |
|---|---|
| Provider Enumeration Date | 11/08/2024 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992529762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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