Individual
JUSTINA LYNN WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 MYRA BARNES AVE, PIKEVILLE, KY 41501-3750
(502) 316-3123
Mailing address
119 MYRA BARNES AVE, PIKEVILLE, KY 41501-3750
(502) 316-3123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1687
KY
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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