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Individual

ALLENE WICKER LILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
18 E MAIN ST STE 216, GREENFIELD, IN 46140-5541
(317) 649-4311
(317) 649-4375
Mailing address
3693 S 800 E, WALDRON, IN 46182-9513
(765) 561-5605

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008247A
IN
1041C0700X
Clinical Social Worker
5887
TN

Other

Enumeration date
11/12/2019
Last updated
11/12/2019
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