JONATHAN DANIEL WILKS

ALBUQUERQUE, NM
NPI1992055461
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  C-2909)
Enumeration Date2012-09-12
Last Update Date2022-03-19
Business Address
JONATHAN DANIEL WILKS
4300 WOODROSE RD NW
ALBUQUERQUE, NM 87114
Phone number: 505-553-6110
Mailing Address
JONATHAN DANIEL WILKS
4300 WOODROSE RD NW
ALBUQUERQUE, NM 87114-5578
Phone number: 505-553-6110