Individual
MRS. GLENDA M WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-4341
Mailing address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-4341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008037164
MO
Other
Enumeration date
09/28/2017
Last updated
11/19/2021
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