Individual
MS. KATIE WICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
3621 LANDMARK DRIVE, COLUMBIA, SC 29204-4015
(803) 470-3882
Mailing address
3621 LANDMARK DRIVE, COLUMBIA, SC 29204-4015
(803) 470-3882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9036
SC
Other
Enumeration date
06/30/2016
Last updated
09/02/2016
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