DEEDRA WICKHAM

CLARKSVILLE, AR
NPI1386877546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2009-09-03
Last Update Date2009-09-03
Business Address
-- DEEDRA WICKHAM CMP
522 MILL RD
CLARKSVILLE, AR 72830-8511
Phone number: 479-705-1301
Mailing Address
-- DEEDRA WICKHAM CMP
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344