Individual
MS. NANETTE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2501 BUENA VISTA DR SE, ALBUQUERQUE, NM 87106-4260
(505) 823-8720
Mailing address
2501 BUENA VISTA DR SE, ALBUQUERQUE, NM 87106-4260
(505) 823-8720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05528
NM
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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