BRYAN WICKENS

SAN DIEGO, CA
NPI1336429257
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2011-08-23
Last Update Date2023-09-21
Business Address
BRYAN WICKENS MA
545 LAUREL ST
SAN DIEGO, CA 92101-1634
Phone number: 619-233-4399
Mailing Address
BRYAN WICKENS MA
545 LAUREL ST
SAN DIEGO, CA 92101-1634
Phone number: 619-233-4399
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