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Individual
EMMA LOUISE WICKS
Active
Individual
EMMA LOUISE WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LD CIEC
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2021038178
MO
133V00000X
Registered Dietitian
4152
TN
133V00000X
Registered Dietitian
5324
MN
Other
Enumeration date
11/19/2021
Last updated
09/16/2024
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