Individual
QUATAVIA SHERTONIA WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2025 BYPASS RD STE 205, BRANDENBURG, KY 40108-1634
(270) 422-3971
(270) 422-4882
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
(270) 234-8572
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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