Search › Maine › 225700000X
Ida Gammon-Wilson, LMT, CBT
NPI 1629090519 · on the registry since 2006 · sole proprietor
Practice
- Address
- 690 Maine Ave
Farmingdale, ME 04344 - Phone
- (207) 622-4062
- Fax
- (207) 622-4062
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine