Individual
MR. IAN FRANKLIN WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC, NMT
Contact information
Practice address
4769 PEREZOSO CALLE, SANTA ROSA, CA 95409-2647
(707) 480-7658
Mailing address
4769 PEREZOSO CALLE, SANTA ROSA, CA 95409-2647
(707) 480-7658
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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