Individual
ERIC L WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4641 ROOSEVELT BLVD, ORLEANS BLDG, PHILADELPHIA, PA 19124-2343
(215) 831-2836
(215) 831-2929
Mailing address
180 ASHLAND AVE, APT B, BALA CYNWYD, PA 19004-1941
(215) 908-8414
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW130673
PA
Other
Enumeration date
09/19/2013
Last updated
02/05/2018
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