Individual
COREY WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4602 MACCORKLE AVE SE, CHARLESTON, WV 25304-1848
(304) 205-7535
Mailing address
6103 CASPER DR, LOUISVILLE, KY 40258-2593
(304) 690-6645
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1268
WV
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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