Individual
LORI ANN WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 UTAH ST, GILLETTE, WY 82716-1928
(307) 686-5667
Mailing address
1811 UTAH ST, GILLETTE, WY 82716-1928
(307) 686-5667
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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