Individual
COLETTE CAILIN WILCOXEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 S 86TH ST, LINCOLN, NE 68526-9227
(402) 483-6990
(402) 483-7045
Mailing address
4545 S 86TH ST, LINCOLN, NE 68526-9227
(402) 483-6990
(402) 483-7045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12228
NE
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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