Individual
CHARLES WICKENHOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
5050 MADISON RD, CINCINNATI, OH 45227-1491
(513) 272-2800
Mailing address
1127 KIMS ST, ELSMERE, KY 41018-2196
(513) 446-3287
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2309462
OH
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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