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1205247335
TRACY WICKLAND
WAYNE, MI
NPI
1205247335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801094921)
Enumeration Date
2014-05-12
Last Update Date
2024-03-12
Business Address
TRACY WICKLAND LMSW
3001 4TH ST
WAYNE, MI 48184-1358
Phone number: 734-419-2200
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Mailing Address
TRACY WICKLAND LMSW
1 FORD PL
DETROIT, MI 48202-3450
Phone number: 313-874-6677
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