Individual
ERICA WICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
462 6TH ST APT 3B, BROOKLYN, NY 11215-3639
(214) 707-4547
Mailing address
462 6TH ST APT 3B, BROOKLYN, NY 11215-3639
(214) 707-4547
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002430
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23334685
DRIVERS LICENSE
TX
Enumeration date
07/08/2021
Last updated
07/08/2021
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