# NICOLLE WICKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871273474
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 2004007600 | MO | — |
| 1041C0700X | Clinical Social Worker | 9364 | NV | Yes |
| 1041C0700X | Clinical Social Worker | LCSW111258 | CA | — |
| 1041C0700X | Clinical Social Worker | W60218770 | WA | — |

## Other

- **Enumeration date:** 07/19/2023
- **Last updated:** 07/19/2023