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Individual

MR. NEWELL TRIGG WILCOXON IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
203 W 23RD ST, INDEPENDENCE, MO 64055-1261
(816) 807-9369
(816) 833-8330
Mailing address
PO BOX 189, SAINT JAMES, MO 65559-0189
(816) 807-9369
(573) 447-8899

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015030698
MO

Other

Enumeration date
01/28/2016
Last updated
01/28/2016
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