Individual
DEBORAH C WILKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
455 E WYLIE FARM RD, BLOOMINGTON, IN 47401-4591
(812) 219-8341
Mailing address
455 E WYLIE FARM RD, BLOOMINGTON, IN 47401-4591
(812) 219-8341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
34004227A
IN
101YM0800X
Mental Health Counselor
34004227A
IN
102L00000X
Psychoanalyst
34004227A
IN
103K00000X
Behavior Analyst
34004227A
IN
104100000X
Social Worker
34004227A
IN
1041C0700X
Clinical Social Worker
Primary
34004227A
IN
106H00000X
Marriage & Family Therapist
34004227A
IN
Other
Enumeration date
08/04/2014
Last updated
08/11/2014
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