Kelly A Wicker

NPI 1740413772 - Social Worker - 1041C0700X

NPI Details
NPI 1740413772
Gender Female
Enumeration Date 08/25/2009
Last Updated 05/20/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
29 PAULINE ST
NORTH DARTMOUTH MA, 02747-3427, US
Phone (617) 833-9155
Fax
Business Location
29 PAULINE ST
NORTH DARTMOUTH MA, 02747-3427, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State
License Number
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According to our database, Kelly A Wicker NPI is 1740413772, taxonomy code is 1041C0700X Kelly A Wicker physically located at 29 Pauline St, North Dartmouth MA, 02747-3427. NPI Number Kelly A Wicker has the Individual type.

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1740413772 NPI number is provided on an as is basis without warranty of any kind. 1740413772 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly A Wicker are for informational purposes only.