Individual
NOAH JOHN WICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT CANDIDATE
Contact information
Practice address
1820 N SIOUX AVE, CLAREMORE, OK 74017-3133
(918) 440-3710
(918) 341-7977
Mailing address
14808 E ECHO DR, CLAREMORE, OK 74019-3887
(918) 440-3710
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
OK
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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