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1245949643
LISA WICKER
SPRINGDALE, AR
NPI
1245949643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-11-15
Last Update Date
2022-11-15
Business Address
LISA WICKER
1702 W HUNTSVILLE AVE
SPRINGDALE, AR 72762-3021
Phone number: 870-736-0969
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Mailing Address
LISA WICKER
16330 HAMESTRING RD
FAYETTEVILLE, AR 72704-9471
Phone number: 870-736-0969
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