Individual
DEBRA RUTH WICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
610 S BURDICK ST, KALAMAZOO, MI 49007-5221
(269) 381-3700
(269) 381-3810
Mailing address
610 S BURDICK ST, KALAMAZOO, MI 49007-5221
(269) 381-3700
(269) 381-3810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6802073803
MI
Other
Enumeration date
01/04/2013
Last updated
02/07/2017
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