Individual
LENA-ANNE WICKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 TOZER RD, BEVERLY, MA 01915-5515
(978) 969-2894
Mailing address
16 BANKS ST, WINTHROP, MA 02152-1904
(617) 207-9211
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
Primary
1966
MA
Other
Enumeration date
07/27/2016
Last updated
04/27/2026
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