Individual
AIMEE BENTON WICKERSHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15593 W MACKENZIE DR, GOODYEAR, AZ 85395-7779
(321) 961-3393
Mailing address
15593 W MACKENZIE DR, GOODYEAR, AZ 85395-7779
(321) 961-3393
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-18914
AZ
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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