Individual
ELIZABETH WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2345
Mailing address
1321 MILL CIR, OCEAN SPRINGS, MS 39564-2934
(228) 282-4556
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/12/2022
Last updated
03/27/2023
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