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NPI Code Detail

MEDICARE: SHERRY WILKINS MFT

MEDICARE:   SHERRY  WILKINS  MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFC19848CA

General Provider Information

NPI Number : 1427125707
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRY WILKINS MFT
Provider Business Mailing Address
First Line : 474 W VERMONT AVE
Second Line : SUITE #104
City : ESCONDIDO
State : CA
Zip : 92025-6584
Country : US
Telephone Number : 760-432-9884
Fax Number : 760-432-9553
Provider Business Practice Location Address
First Line : 474 W VERMONT AVE
Second Line : SUITE #104
City : ESCONDIDO
State : CA
Zip : 92025-6584
Country : US
Telephone Number : 760-432-9884
Fax Number : 760-432-9553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 07/08/2007

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