TRACY WICKLAND

WAYNE, MI
NPI1205247335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MI  6801094921)
Enumeration Date2014-05-12
Last Update Date2024-03-12
Business Address
TRACY WICKLAND LMSW
3001 4TH ST
WAYNE, MI 48184-1358
Phone number: 734-419-2200
Mailing Address
TRACY WICKLAND LMSW
1 FORD PL
DETROIT, MI 48202-3450
Phone number: 313-874-6677