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Individual

AMY B WILLCOXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1077 WHITEFISH STAGE, KALISPELL, MT 59901-2735
(406) 249-0824
(406) 890-6817
Mailing address
320 4TH AVE W, KALISPELL, MT 59901-4816
(406) 407-6914

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1478
MT
103TC0700X
Clinical Psychologist
4031
AZ

Other

Enumeration date
07/24/2009
Last updated
12/09/2019
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