Individual
KIMBERLEY M. WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2525 KINARD ST, NEWBERRY, SC 29108-2909
(803) 405-0220
Mailing address
47A REDBIRD LN, LITTLE MOUNTAIN, SC 29075-9326
(803) 768-7082
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10320
SC
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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