Individual
EMMA LOUISE WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LD CIEC
Contact information
Practice address
1905 CHERRY HILL DR STE 300, COLUMBIA, MO 65203-5812
(573) 343-4017
(573) 615-4443
Mailing address
5198 WADDELL HOLLOW RD, FRANKLIN, TN 37064-9433
(615) 305-8110
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2021038178
MO
133V00000X
Registered Dietitian
4152
TN
133V00000X
Registered Dietitian
5324
MN
Other
Enumeration date
11/19/2021
Last updated
09/16/2024
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