Individual
ELIZABETH RENEE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S. NCSP
Contact information
Practice address
301 S MAIN ST, NIXA, MO 65714-5303
(417) 449-3117
Mailing address
301 S MAIN ST, NIXA, MO 65714-5303
(417) 449-3117
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
MO
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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