Individual
ALEXANDRIA WILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2404 W 8TH ST, COFFEYVILLE, KS 67337-2931
(620) 330-9036
(620) 206-2514
Mailing address
2404 W 8TH ST, COFFEYVILLE, KS 67337-2931
(620) 330-9036
(620) 206-2514
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
010
KS
103T00000X
Psychologist
2748
KS
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/24/2013
Last updated
07/19/2024
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