Individual
JUDY LEE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, L.P.C.
Contact information
Practice address
690 S TRUMBULL ST, BAY CITY, MI 48708-7692
(989) 922-4900
(989) 922-4911
Mailing address
690 SOUTH TRUMBULL, BAY CITY, MI 48708
(989) 922-4900
(989) 922-4911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401002114
MI
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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