Individual
MRS. SHARON M WICKERSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT(ASCP)
Contact information
Practice address
2015 W MAIN ST, STAMFORD, CT 06902-4536
(203) 246-6748
Mailing address
2015 W MAIN ST, STAMFORD, CT 06902-4536
(203) 246-6748
Taxonomy
Speciality
Code
Description
License number
State
246QC2700X
Cytotechnology Specialist/Technologist
Primary
000144-1
NY
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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