Individual
MINDY WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W4051 COUNTY ROAD NN, ELKHORN, WI 53121-4338
(262) 741-3249
Mailing address
1140 W COURT ST, ELKHORN, WI 53121-4249
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2256-154
WI
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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