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Individual
KOMIYA WILKS
Active
Individual
KOMIYA WILKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW006962
GA
1041C0700X
Clinical Social Worker
114719
CA
1041C0700X
Clinical Social Worker
Primary
C8339
MS
1041C0700X
Clinical Social Worker
CSW006870.
GA
Other
Enumeration date
07/11/2016
Last updated
03/27/2026
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