Individual
MARSHA L WILKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED S LMHP
Contact information
Practice address
1012 W 3RD ST, MCCOOK, NE 69001-2527
(308) 345-2770
(308) 345-2557
Mailing address
1012 W 3RD ST, PO BOX 818, MCCOOK, NE 69001-2527
(308) 345-2770
(308) 345-2557
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1732
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6251
MIDLANDS CHOICE
—
01
—
84892
BCBS DIRECT PROVIDER
—
01
—
97085
BCBS AUXILLIARY PROVIDER
—
Enumeration date
07/07/2006
Last updated
07/08/2007
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