Individual
RUTH ELLEN WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2169 SWANSON AVE., SUITE 6, LAKE HAVASU CITY, AZ 86403
(928) 412-5878
Mailing address
2169 SWANSON AVE., SUITE 6, LAKE HAVASU CITY, AZ 86403
(928) 412-5878
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
45364
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT15555
AZ
Other
Enumeration date
12/17/2009
Last updated
04/02/2021
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