Individual
MRS. CORINNE E.D. WICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6515 SANDY POINT CT, RANCHO PALOS VERDES, CA 90275-5871
(818) 437-0378
(877) 258-0470
Mailing address
6515 SANDY POINT CT, RANCHO PALOS VERDES, CA 90275-5871
(818) 437-0378
(877) 258-0470
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1052207
CA
Other
Enumeration date
08/29/2012
Last updated
07/21/2022
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