Individual
MISTY WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-5858
Mailing address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-5858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
153752
AK
1041C0700X
Clinical Social Worker
Primary
I-06973
NM
Other
Enumeration date
10/07/2014
Last updated
01/06/2026
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