Individual
ELIZABETH WICKLIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
6130 COUNTY ROAD 427, AUBURN, IN 46706-9515
(260) 920-0784
Mailing address
790 S 600 E, AVILLA, IN 46710-9620
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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