Individual
MR. EDWARD KEVIN WILCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW LCDC
Contact information
Practice address
697 LOUISIANA DRIVE, 7TH MEDICAL GROUP, ABILENE DYESS AIR FORCE BASE, TX 79607-1367
(325) 320-3988
(325) 696-5579
Mailing address
697 LOUISIANA DRIVE, 7TH MEDICAL GROUP, ABILENE DYESS AIR FORCE BASE, TX 79607-1367
(325) 320-3988
(325) 696-5579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5607
TX
1041C0700X
Clinical Social Worker
Primary
16571
TX
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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