Individual
MS. LINDA GAIL WICKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
918 E 2ND ST, CASPER, WY 82601-2625
(307) 235-2814
(307) 472-1169
Mailing address
918 E 2ND ST, CASPER, WY 82601-2625
(307) 235-2814
(307) 472-1169
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
WY
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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