Individual
MRS. JENNIFER MARIE WICKERSHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
69 TURF CT, WEBSTER GROVES, MO 63119-4619
(314) 651-2179
Mailing address
69 TURF CT, WEBSTER GROVES, MO 63119-4619
(314) 651-2179
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002754
MO
Other
Enumeration date
02/08/2011
Last updated
05/31/2024
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