Provider Information for 1386783793
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Mrs. SHARON LOUISE WILKENING LPC, LCAS, LMHC
Sex: Female
NPI: 1386783793
Last Updated: 2019-06-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||||||||||
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| NPI | 1386783793 | ||||||||||||||||||||||||
| Enumeration Date | 2007-02-05 | ||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||
| Mailing Address | 249 BALLY SHANNON WAY APEX, NC 27539 United States Phone: 315-523-0403 | Fax: | ||||||||||||||||||||||||
| Primary Practice Address | 1020 SOUTHHILL DRIVE SUITE 355 CARY, NC 27513 United States Phone: 315-523-0403 | Fax: | ||||||||||||||||||||||||
| Secondary Practice Address(es) | 180 MINE LAKE CT. # 200 | ||||||||||||||||||||||||
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