Micalyn Keziah Wilcox

NPI #1962007997 in Stanton, Michigan

Provider Information

NPI Number: 1962007997
Entity Type: Individual
Name: Micalyn Keziah Wilcox
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 30, 2020
Last Updated: Nov 30, 2020

Practice Location

Address: 100 E MAIN ST STE A
City: Stanton
State: Michigan
ZIP Code: 48888-8601
Phone: (989) 372-9550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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