Individual
MRS. ELIZABETH ANN WICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 773-1141
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 773-1141
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S28780
OH
Other
Enumeration date
01/31/2007
Last updated
07/24/2007
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