Individual
KERI E WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
505 BROADWAY ST, BARABOO, WI 53913-2183
(608) 524-7966
(608) 524-7990
Mailing address
PO BOX 29, BARABOO, WI 53913-0029
(608) 524-7966
(608) 524-7990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8614120
WI
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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