Individual
ANITA WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSS, LSW
Contact information
Practice address
8001 ROOSEVELT BLVD, SUITE 301, PHILADELPHIA, PA 19152-3038
(215) 331-3200
Mailing address
PO BOX 4118, PHILADELPHIA, PA 19144-0118
(215) 713-4932
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
06/25/2014
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