| Mary Deborah Wilson Pmhnp | |
|
11022 Nicholas Lane Unit 2 Suite1 Village Square Center Berlin MD 21811-1663 | |
| (443) 513-0222 | |
| Not Available |
| Full Name | Mary Deborah Wilson Pmhnp |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11022 Nicholas Lane, Berlin, Maryland |
| Authorized Official Name and Position | Mary Deborah Wilson (SOLE PROVIDER) |
| Authorized Official Contact | 4106415190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Deborah Wilson Pmhnp 11022 Nicholas Lane Unit 2 Suite 1 Village Square Center Berlin MD 21811-1663 Ph: (410) 641-5190 | Mary Deborah Wilson Pmhnp 11022 Nicholas Lane Unit 2 Suite1 Village Square Center Berlin MD 21811-1663 Ph: (443) 513-0222 |
| NPI Number | 1619498383 |
|---|---|
| Provider Enumeration Date | 07/03/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619498383 | NPI | - | NPPES |
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