Individual
MS. TARI WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
5925 COUNCIL ST NE, SUITE 120, CEDAR RAPIDS, IA 52402-5878
(319) 393-6796
Mailing address
1217 36TH ST SE, CEDAR RAPIDS, IA 52403-3811
(319) 209-0068
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
072261
IA
106H00000X
Marriage & Family Therapist
166.000788
IL
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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