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Individual

MR. CHARLES W WICKHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
2342 PARKWOOD AVE, ANN ARBOR, MI 48104
(734) 218-0546
Mailing address
2342 PARKWOOD AVE, ANN ARBOR, MI 48104-5110
(734) 218-0546

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801086180
MI

Other

Enumeration date
01/29/2007
Last updated
04/26/2012
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