Individual
EDNA MERRY WILCOCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N., L.C.S.W.
Contact information
Practice address
925 E 900 S, SALT LAKE CITY, UT 84105-1401
(801) 541-5443
Mailing address
363 WALL ST, SALT LAKE CITY, UT 84103-1637
(801) 359-7648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2215843501
UT
Other
Enumeration date
10/17/2005
Last updated
07/08/2007
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