Individual
MS. MICHELLE WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 882-5122
Mailing address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/29/2019
Last updated
11/16/2023
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