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Individual

ASHLAN WICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
323 W MULBERRY ST, WATSEKA, IL 60970-1568
(815) 432-5241
Mailing address
PO BOX 322, WATSEKA, IL 60970-0322

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/19/2019
Last updated
09/19/2019
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Product
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  • Eligibility checks
  • EDI platform