Individual
NICOLE WIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 W ELM AVE, HANOVER, PA 17331-5125
(717) 632-4900
Mailing address
1195 ROOSEVELT AVE, YORK, PA 17404-2350
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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