CAROL WILCOX

WHITE CITY, OR
NPI1497112130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  05-11-92)
Enumeration Date2016-01-26
Last Update Date2016-01-26
Business Address
-- CAROL WILCOX
3131 AVENUE C
WHITE CITY, OR 97503-1443
Phone number: 541-864-8701
Mailing Address
-- CAROL WILCOX
3131 AVENUE C
WHITE CITY, OR 97503-1443
Phone number: 541-864-8701