Individual
JOHANN WICHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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