Individual
MS. LORI ANN WILKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3251 W 9TH ST, WATERLOO, IA 50702-5310
(319) 234-2893
(319) 234-0354
Mailing address
1705 LIBERTY AVE, WATERLOO, IA 50702-2423
(319) 233-0747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02254
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07443
SUBMITTER
IA
Enumeration date
10/17/2006
Last updated
11/16/2007
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