Individual
CARRIE L WILKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
276 5TH AVE RM 1101, NEW YORK, NY 10001-4544
(212) 683-3339
Mailing address
100 STONE MANOR DR, NEW MARLBOROUGH, MA 01230-9744
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014881
NY
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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