Individual
MRS. CLARA HUTSON WICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,CCC-SLP
Contact information
Practice address
6411 OAK CLUSTER DRIVE, GREENWELL SPRINGS, LA 70739
(225) 261-5771
Mailing address
6411 OAK CLUSTER DR, GREENWELL SPRINGS, LA 70739-4132
(225) 261-5771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2860
LA
Other
Enumeration date
06/07/2007
Last updated
08/24/2007
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