Individual
CATHIE DARLENE WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3732 W PINE CREEK CT, MERIDIAN, ID 83642-4216
(208) 870-7054
Mailing address
3732 W PINE CREEK CT, MERIDIAN, ID 83642-4216
(208) 870-7054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-28046
ID
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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