Individual
BRENDA JOY WILKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38300 WENDLING RD, MARCOLA, OR 97454-9732
(775) 340-2925
Mailing address
91375 MARCOLA RD, SPRINGFIELD, OR 97478-8707
(775) 340-2925
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041S0200X
School Social Worker
519017
OR
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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