Individual
MR. ROBERT LEE WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5934 S BUSINESS DR, SHEBOYGAN, WI 53081-8914
(920) 459-9277
(920) 459-7920
Mailing address
5934 S BUSINESS DR, SHEBOYGAN, WI 53081-8914
(920) 459-9277
(920) 459-7920
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12399131
WI
101YP2500X
Professional Counselor
2430-123
WI
1041C0700X
Clinical Social Worker
Primary
2430123
WI
106H00000X
Marriage & Family Therapist
177124
WI
Other
Enumeration date
12/28/2006
Last updated
05/02/2012
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