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Individual

MATTHEW JAY WILKIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISW-CP

Contact information

Practice address
3133 DAUFASKIE RD, SUMTER, SC 29150-1895
(803) 406-1394
Mailing address
3133 DAUFASKIE RD, SUMTER, SC 29150-1895
(803) 406-1394

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
10378
SC
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/18/2013
Last updated
07/30/2021
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