Individual
PATRICIA J WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
706 N COUNTY LINE RD E, LAFAYETTE, IN 47905-9637
(765) 414-8205
Mailing address
706 N COUNTY LINE RD E, LAFAYETTE, IN 47905-9637
(765) 414-8205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33011226A
IN
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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