Individual
ROSE ANN WILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1243 SHED RD, BEDFORD, PA 15522-8584
(814) 623-5166
(814) 623-3460
Mailing address
1243 SHED RD, BEDFORD, PA 15522-8584
(814) 623-5166
(814) 623-3460
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000001750049
—
PA
Enumeration date
07/31/2006
Last updated
07/08/2007
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