Wake, Wilma E

Wake, Wilma E is an sole proprietor health care provider with primary practice located at 37 Branch Rd , Kennebunk ME 04043-6401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wake, Wilma E can be contacted via phone (207) 329-9730.

Contact Information

Primary practice address
37 Branch Rd Kennebunk ME 04043-6401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC9447 Maine

Profile Details

NPI number 1285790238
LBN Legal business name Wake, Wilma E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Dec 8th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285790238 NPPES
Maine MEDICAID 432141799
Maine Other LC9447

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