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1114059433
HEIDI RAE WICKERSHAM
SHAWNEE, KS
NPI
1114059433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: KS 5847)
Enumeration Date
2007-03-12
Last Update Date
2007-09-04
Business Address
-- HEIDI RAE WICKERSHAM LMSW
6440 NIEMAN RD
SHAWNEE, KS 66203-3326
Phone number: 913-962-9955
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Mailing Address
-- HEIDI RAE WICKERSHAM LMSW
6000 LAMAR AVE STE 130
MISSION, KS 66202-3234
Phone number: 913-831-2550
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