JENNIFER WEICKUM

CLAYTON, NC
NPI1134470768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  7824)
Enumeration Date2012-09-21
Last Update Date2012-09-21
Business Address
-- JENNIFER WEICKUM
204 COLONIAL DR
CLAYTON, NC 27527-8739
Phone number: 919-879-8746
Mailing Address
-- JENNIFER WEICKUM
204 COLONIAL DR
CLAYTON, NC 27527-8739
Phone number: 919-879-8746