Individual
DR. MARY JANE WILKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2359 HIGHWAY 105, CDSA OF THE BLUE RIDGE, BOONE, NC 28607-7814
(828) 265-5391
Mailing address
169 ROGERS DR, BOONE, NC 28607-4825
(828) 265-4513
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2487
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046K9
BLUE CROSS BLUE SHIELD
NC
Enumeration date
03/19/2007
Last updated
01/06/2009
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