Individual
HEIDI RAE WICKERSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 962-9955
(913) 826-1589
Mailing address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5847
KS
Other
Enumeration date
03/12/2007
Last updated
09/04/2007
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