DOM WILKS

JACKSON, WY
NPI1518296433
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY  LAT-297)
Enumeration Date2009-12-24
Last Update Date2009-12-24
Business Address
Dr. DOM WILKS PhD
610 W. BROADWAY SUITES SUITE L1
JACKSON, WY 83001
Phone number: 307-733-3908
Mailing Address
Dr. DOM WILKS PhD
PO BOX 11390
JACKSON, WY 83002-1390
Phone number: 307-733-3908
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