Individual
BRANDON WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S
Contact information
Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3546
Mailing address
3144 W CLYDE PL, DENVER, CO 80211-2721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
09/30/2013
Last updated
11/20/2013
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