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Individual
TOD WICKERSHAM
Active
Individual
TOD WICKERSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNLP, CFNC, OM
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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