Individual
MARY WIKLACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
7 PETTIGRU ST, GREENVILLE, SC 29601-3000
(864) 235-7501
(864) 235-7503
Mailing address
116 CROWN EMPIRE CT, SIMPSONVILLE, SC 29681-6354
(864) 289-0043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8645
SC
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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