Individual
MS. ELAINE WILCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
11755 POINTE PL, SUITE A-1, ROSWELL, GA 30076-4636
(770) 650-8052
Mailing address
11755 POINTE PL, SUITE A-1, ROSWELL, GA 30076-4636
(770) 650-8052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3251
GA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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