Individual
DALANA MARIE WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
529 WESTPORT RD, ELIZABETHTOWN, KY 42701-2949
(270) 763-8225
Mailing address
405 EAGLE RIDGE DR, DRY RIDGE, KY 41035-6405
(859) 462-1287
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
173610
KY
Other
Enumeration date
06/21/2018
Last updated
06/17/2019
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