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1104680156
KERRY WICKMAN
SALT LAKE CITY, UT
NPI
1104680156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 9515461-3501)
Enumeration Date
2024-02-09
Last Update Date
2024-02-09
Business Address
KERRY WICKMAN LCSW
850 E 300 S STE 1
SALT LAKE CITY, UT 84102-2301
Phone number: 385-429-9808
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Mailing Address
KERRY WICKMAN LCSW
850 E 300 S STE 1
SALT LAKE CITY, UT 84102-2301
Phone number: 385-429-9808
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