Individual
MR. WILLIAM A. WILKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, SAC
Contact information
Practice address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6744
(262) 638-6540
Mailing address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6744
(262) 638-6540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12702-131
WI
1041C0700X
Clinical Social Worker
Primary
2312-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40939600
—
WI
Enumeration date
05/10/2007
Last updated
05/10/2019
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