Organization
DE ELLA D WILCOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DE ELLA DAWN WILCOX LICSW (MANAGER/OWNER)
(218) 639-2805
Entity
Organization
Contact information
Practice address
2233 ROOSEVELT RD. STE. 1, 2233 ROOSEVELT RD. STE. 1, SAINT CLOUD, MN 56301
(320) 460-2550
(320) 217-5453
Mailing address
PO BOX 7430, SAINT CLOUD, MN 56302-7430
(320) 460-2550
(320) 217-5453
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
02/24/2025
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