Individual
ANGELA M WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-7330
(563) 927-7409
Mailing address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-7330
(563) 927-7409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00980
IA
Other
Enumeration date
12/20/2007
Last updated
05/26/2009
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