Individual
ABRAM DILLON WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLCSW
Contact information
Practice address
1731 LOUISE CIR, COLUMBIA, MO 65201-3892
(573) 442-3429
Mailing address
4304 S BEARFIELD RD, COLUMBIA, MO 65201-9557
(573) 874-8686
(573) 874-8608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2007025105
MO
Other
Enumeration date
08/24/2007
Last updated
09/10/2007
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