Individual
ELLEN BILANOW WILCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
3507 W 50TH ST, MINNEAPOLIS, MN 55410-2124
(612) 920-0243
(612) 922-9428
Mailing address
4724 YORK AVE S, MINNEAPOLIS, MN 55410-1868
(612) 920-0243
(612) 922-9428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2165
MN
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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