Individual
A'NYA WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11780 BORMAN DR, SAINT LOUIS, MO 63146-4135
(314) 275-0506
Mailing address
3733 LINDELL BLVD, SAINT LOUIS, MO 63108-3439
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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