Individual
ASHLEY CASE WICKLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
769 N WENDOVER RD, CHARLOTTE, NC 28211-1118
(704) 376-7180
Mailing address
430 WHITE WATER FALLS DR, UNIT 618, CHARLOTTE, NC 28217-5256
(434) 825-0492
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P009396
NC
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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