Individual
CATHERINE MARIE WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 N LYNDON ST, JEROME, ID 83338-5045
(406) 371-3264
Mailing address
2103 N LYNDON ST, JEROME, ID 83338-5045
(406) 371-3264
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AD017272S
ID
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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