Individual
MRS. BETSY LEE WICKLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1030 VILLAGE DR, WATKINSVILLE, GA 30677-6004
(706) 769-1718
(706) 769-4535
Mailing address
1030 VILLAGE DR, P.O. BOX 626, WATKINSVILLE, GA 30677-6004
(706) 769-1718
(706) 769-4535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003095
GA
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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