WAYNE A WILCKEN

GALLUP, NM
NPI1528272259
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  3215)
Enumeration Date2007-05-10
Last Update Date2012-01-26
Business Address
Mr. WAYNE A WILCKEN M.S.
2025 E AZTEC AVE
GALLUP, NM 87301-4803
Phone number: 505-863-3828
Mailing Address
Mr. WAYNE A WILCKEN M.S.
411 E MALONEY AVE
GALLUP, NM 87301-5024
Phone number: 505-863-3377
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