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Individual

MAGGIE JEAN WICKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED, BCBA

Contact information

Practice address
141 STURTZ ST, BARRINGTON, IL 60010-4431
(847) 363-8153
Mailing address
141 STURTZ ST, BARRINGTON, IL 60010-4431
(847) 363-8153

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64245

Other

Enumeration date
02/24/2023
Last updated
03/25/2025
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