Individual
MRS. HEATHER J WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
207 3RD AVE, HATTIESBURG, MS 39401-3868
(601) 545-2442
(601) 545-2443
Mailing address
207 3RD AVE, HATTIESBURG, MS 39401-3868
(601) 545-2442
(601) 545-2443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C4945
MS
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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