Individual
WANDA SUE BRICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 WASHINGTON AVE, WACO, TX 76701-1019
(254) 755-6411
(254) 755-6422
Mailing address
134 PR 201, AQUILLA, TX 76622-2443
(254) 715-5538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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