Jessalee Wilks

NPI #1174345938 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1174345938
Entity Type: Individual
Name: Jessalee Wilks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 31, 2024
Last Updated: Oct 31, 2024

Practice Location

Address: 1607 LINCOLN WAY
City: Coeur D Alene
State: Idaho
ZIP Code: 83814-2462
Phone: (208) 500-0567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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