Individual
MS. REBECCA LYNNE WICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(810) 232-2766
Mailing address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(810) 232-2766
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
12/22/2011
Last updated
01/23/2018
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