Individual
MARSHA WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 S DIVISION ST, POWELL, WY 82435-2409
(307) 754-7970
Mailing address
529 ROAD 9, POWELL, WY 82435-9725
(801) 205-5275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCSW617
WY
1041C0700X
Clinical Social Worker
47649983501
UT
1041C0700X
Clinical Social Worker
Primary
LCSW617
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730150335
INSURANCE
—
05
—
1730150335
—
WY
Enumeration date
01/31/2006
Last updated
12/11/2013
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