CHARLENE WICKERING

GRAND RAPIDS, MI
NPI1356311393
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6802061419)
Enumeration Date2006-01-24
Last Update Date2007-07-08
Business Address
-- CHARLENE WICKERING LMSW ACS
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546-7716
Phone number: 616-942-8060
Mailing Address
-- CHARLENE WICKERING LMSW ACS
PO BOX 30516 DEPT 6000A
LANSING, MI 48909-8016
Phone number: 616-942-8060
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