La'ticia Wilks

NPI #1649519067 in Pasco, Washington

Provider Information

NPI Number: 1649519067
Entity Type: Individual
Name: La'ticia Wilks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 5, 2013
Last Updated: Feb 5, 2013

Practice Location

Address: 2715 SAINT ANDREWS LOOP
Address 2: SUITE C
City: Pasco
State: Washington
ZIP Code: 99301-3386
Phone: (509) 412-1051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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