Individual
MS. CHRISTINE GRACE WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, LICDC
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 685-5338
Mailing address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 685-5338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
923347
OH
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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