Individual
KRISTEN WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
257 MAIN ST, BINGHAMTON, NY 13905-2522
(607) 729-6206
(607) 729-1858
Mailing address
1200 E MAIN ST, ENDICOTT, NY 13760-5220
(607) 757-2143
(607) 658-7119
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
092126
NY
Other
Enumeration date
09/08/2016
Last updated
01/20/2022
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