Individual
KRISTEN LYNN WILCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4664 LARWELL DR, COLUMBUS, OH 43220-3621
(614) 487-7805
(866) 314-2350
Mailing address
4664 LARWELL DR, COLUMBUS, OH 43220-3621
(614) 487-7805
(866) 314-2350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00717
OH
Other
Enumeration date
05/02/2016
Last updated
03/03/2022
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