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Individual
NICOLLE WICKER
Active
Individual
NICOLLE WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2004007600
MO
1041C0700X
Clinical Social Worker
Primary
9364
NV
1041C0700X
Clinical Social Worker
LCSW111258
CA
1041C0700X
Clinical Social Worker
W60218770
WA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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