Individual
JULIE KATHERINE WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
25 N 12TH AVE E, SUITE F, DULUTH, MN 55805-2200
(218) 724-3122
(218) 724-4041
Mailing address
101 W 2ND ST, STE 200, DULUTH, MN 55802-5004
(218) 724-3122
(218) 724-4041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06443
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
965514000
—
MN
Enumeration date
11/29/2006
Last updated
10/14/2016
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