Individual
KRISTIN LYNN WICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
802 KINGSTON TERRACE CT, SAINT CHARLES, MO 63301-1487
(314) 520-1226
Mailing address
802 KINGSTON TERRACE CT, SAINT CHARLES, MO 63301-1487
(314) 520-1226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013009034
MO
Other
Enumeration date
01/23/2012
Last updated
04/24/2013
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