Individual
MS. ELIZABETH ANNE WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 BARBOUR ST, PROVIDENCE, KY 42450-1707
(270) 213-0363
(270) 639-0012
Mailing address
211 BARBOUR ST, PROVIDENCE, KY 42450-1707
(270) 213-0363
(270) 639-0012
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
200202485
KY
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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