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1750851036
BETHANY R WILCOX
LAKE CITY, FL
NPI
1750851036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL sw15771)
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
BETHANY R WILCOX LCSW
6037 W US HIGHWAY 90
LAKE CITY, FL 32055-8196
Phone number: 386-752-9191
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Mailing Address
BETHANY R WILCOX LCSW
2264 NW 15TH AVE
GAINESVILLE, FL 32605-5219
Phone number: 352-262-6488
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