| Doctor Name: | MR. RAYMOND EUGENE WILKERSON |
| NPI Number: | 1003931445 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LSCSW |
| License Number: | LSCSW1685 |
| Business Practice Address: | 11200 Lariat Way Dodge City, KS - 678017328 |
| Business Phone Number: | 6202250276 |
| Business Fax Number: | 6202250279 |
| Mailing Address: | 900 W Broadway St, NEWTON |
| State: | KS |
| Postal Code: | 671142037 |
| Phone Number: | 3162831950 |
| Fax Number: | 3162839540 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LSCSW1685 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |