Provider Demographics
NPI:1538235270
Name:COSGRAVE, WILMA JEAN (CATC BHC)
Entity type:Individual
Prefix:MS
First Name:WILMA
Middle Name:JEAN
Last Name:COSGRAVE
Suffix:
Gender:F
Credentials:CATC BHC
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Mailing Address - Street 1:564 RIO LINDO AVE
Mailing Address - Street 2:204
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1852
Mailing Address - Country:US
Mailing Address - Phone:530-879-3950
Mailing Address - Fax:530-879-3949
Practice Address - Street 1:564 RIO LINDO AVE
Practice Address - Street 2:204
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1852
Practice Address - Country:US
Practice Address - Phone:530-879-3950
Practice Address - Fax:530-879-3949
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA020576OtherCAADE