Wilkerson, Raven

Wilkerson, Raven is an individual health care provider with primary practice located at 51 Market St , Bangor PA 18013-1901. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wilkerson, Raven can be contacted via phone (610) 588-9109.

Contact Information

Primary practice address
51 Market St Bangor PA 18013-1901
Phone: (610) 588-9109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1811768047
LBN Legal business name Wilkerson, Raven
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2024
Last updated Jan 16th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers