Individual
BRENDA MICHELLE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
722 E COURT ST, BEATRICE, NE 68310-3928
(402) 223-3843
(402) 223-4200
Mailing address
416 NORTH 9TH STREET, BEATRICE, NE 68310
(402) 223-3843
(402) 223-4200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8443
NE
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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