Individual
REBECCA COMIRE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, MS, CAS
Contact information
Practice address
286 EVENTIDE DR, FLEMING ISLAND, FL 32003-8186
(904) 624-0882
Mailing address
286 EVENTIDE DR, FLEMING ISLAND, FL 32003-8186
(904) 624-0882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
A10449
NC
103TS0200X
School Psychologist
Primary
10279824
IN
103TS0200X
School Psychologist
PPS-0601178
VA
103TS0200X
School Psychologist
SS1330
FL
Other
Enumeration date
02/02/2015
Last updated
02/21/2025
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