Individual
GAYLE ANN L WILCOX
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSSW LCSW
Contact information
Practice address
220 LA CROSSE ST, JUNEAU COUNTY HUMAN SERVICES, MAUSTON, WI 53948-2101
(608) 847-2400
(608) 847-9599
Mailing address
220 E LACROSSE ST, JUNEAU COUNTY HUMAN SERVICES, MAUSTON, WI 53948-2101
(608) 847-2400
(608) 847-9599
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1440123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39627400
—
WI
Enumeration date
05/31/2006
Last updated
11/17/2022
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