Individual
AISLYNN GILLESPIE WICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1857
(850) 469-3500
Mailing address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1857
(850) 469-3500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW13119
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016573200
—
FL
Enumeration date
01/25/2016
Last updated
05/11/2021
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