Individual
DAVID A. WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
896 E MAIN ST, SUITE 6, GREENWOOD, IN 46143-1440
(317) 881-5050
Mailing address
896 E MAIN ST, SUITE 6, GREENWOOD, IN 46143-1440
(317) 881-5050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000809A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000182668
ANTHEM
IN
01
—
0619180000
MAGELLAN
IN
01
—
34000809A
CLINICAL SOCIAL WORKER
IN
Enumeration date
01/02/2007
Last updated
07/08/2007
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