Individual
MANDI ANNA WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1450 14TH AVE S, NASHVILLE, TN 37212-3005
(615) 298-8070
Mailing address
1737 LIBERTY PIKE, FRANKLIN, TN 37067-8500
(615) 599-7777
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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