Individual
DE ELLA DAWN WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
2233 ROOSEVELT RD. STE. 1, SAINT CLOUD, MN 56301
(320) 460-2550
(320) 217-5453
Mailing address
PO BOX 7430, SAINT CLOUD, MN 56302-7430
(320) 460-2550
(320) 217-5453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23285
MN
Other
Enumeration date
06/24/2014
Last updated
02/24/2025
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