Individual
MRS. JUEQUITA LASHAWN WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW,RSW
Contact information
Practice address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(225) 478-9685
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(225) 478-9685
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
01/02/2019
Last updated
04/04/2022
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