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1376689364
CHARLES W WICKHAM
ANN ARBOR, MI
NPI
1376689364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801086180)
Enumeration Date
2007-01-29
Last Update Date
2012-04-26
Business Address
Mr. CHARLES W WICKHAM LMSW
2342 PARKWOOD AVE
ANN ARBOR, MI 48104
Phone number: 734-218-0546
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Mailing Address
Mr. CHARLES W WICKHAM LMSW
2342 PARKWOOD AVE
ANN ARBOR, MI 48104-5110
Phone number: 734-218-0546
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