BRUCE WILKS

BOLIVAR, TN
NPI1376389882
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2024-07-03
Last Update Date2024-07-03
Business Address
BRUCE WILKS LADAC
793 TENNESSEE ST
BOLIVAR, TN 38008-2441
Phone number: 731-228-9068
Mailing Address
BRUCE WILKS LADAC
793 TENNESSEE ST
BOLIVAR, TN 38008-2441
Phone number: 731-228-9068
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