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Individual
DR. MARK WILKERSON
Active
Individual
DR. MARK WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MD
103K00000X
Behavior Analyst
Primary
LBA710
MD
103TS0200X
School Psychologist
—
MD
Other
Enumeration date
10/31/2019
Last updated
06/29/2023
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