Individual
HAZEL WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
325 SOUTH 12TH STREET, MAMMOTH SPRING, AR 72554
(870) 625-0273
(870) 625-0275
Mailing address
PO BOX 1134, MAMMOTH SPRING, AR 72554-1134
(870) 625-0273
(870) 625-0275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7386-C
AR
Other
Enumeration date
08/13/2013
Last updated
08/24/2018
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