Individual
DR. SHARON WICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
29 FAIRFAX ST SE, LEESBURG, VA 20175-3617
(703) 777-6424
(703) 777-6456
Mailing address
29 FAIRFAX ST SE, LEESBURG, VA 20175-3617
(703) 777-6424
(703) 777-6456
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201-001122
VA
237600000X
Audiologist-Hearing Aid Fitter
2101-001388
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010142717
—
VA
05
—
010142725
—
VA
Enumeration date
06/07/2006
Last updated
01/10/2014
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