Individual
KEIRA WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3031 WESTERLY DR, FRANKLIN, TN 37067-8594
(615) 663-8872
Mailing address
1605 NEEDMORE RD APT 5621, CLARKSVILLE, TN 37040-2227
(931) 401-6420
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
138916430
TN
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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