Individual
DR. DEBORAH CLARA WICKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
301 E JEFFERSON ST, LA GRANGE, KY 40031-1421
(502) 758-2269
Mailing address
3434 MILL CREEK RD, CARROLLTON, KY 41008-9088
(502) 732-9553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5144
KY
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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