Individual
MS. COLLEEN WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1110 BENFIELD BLVD STE H, MILLERSVILLE, MD 21108-2644
(410) 987-3448
Mailing address
7501 TRAFALGAR CIR APT 250, HANOVER, MD 21076-5017
(443) 852-0300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7834
MD
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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