Individual
DR. THEA JOY WICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
11654 HURON ST STE 110, NORTHGLENN, CO 80234-2972
(303) 255-9595
Mailing address
11654 HURON ST STE 110, NORTHGLENN, CO 80234-2972
(303) 255-9595
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
626
CO
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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