Individual
DELIA LASHONNA WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 W 54TH AVE, MERRILLVILLE, IN 46410-1429
(219) 427-2931
Mailing address
311 W 54TH AVE, MERRILLVILLE, IN 46410-1429
(219) 427-2931
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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