Tyra G Wilkerson

NPI 1205006756 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1205006756
Gender Female
Enumeration Date 03/11/2008
Last Updated 03/11/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
8015 PARKER SCHOOL RD
SUITE 160
JACKSONVILLE FL, 32211-5172, US
Phone (904) 858-1963
Fax (904) 858-1455
Business Location
5776 SAINT AUGUSTINE RD
JACKSONVILLE FL, 32207-8030, US
Phone (904) 448-4700
Fax (904) 448-4717
Toxanomy
Taxonomy Code 106H00000X
License State
License Number
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According to our database, Mrs. Tyra G Wilkerson NPI is 1205006756, taxonomy code is 106H00000X Tyra G Wilkerson physically located at 8015 Parker School Rd, Jacksonville FL, 32211-5172. NPI Number Tyra G Wilkerson has the Individual type.

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1205006756 NPI number is provided on an as is basis without warranty of any kind. 1205006756 is maintained by the National Plan & Provider Enumeration System. The contents of Tyra G Wilkerson are for informational purposes only.