DAVID ALFRED WICKMAN

APPLETON, WI
NPI1396841839
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  1624)
Enumeration Date2006-09-15
Last Update Date2007-07-08
Business Address
Mr. DAVID ALFRED WICKMAN addiction therapist
10 TRI PARK WAY
APPLETON, WI 54914-1658
Phone number: 920-831-7908
Mailing Address
Mr. DAVID ALFRED WICKMAN addiction therapist
1836 PREBLE AVE
GREEN BAY, WI 54302-2937
Phone number: 920-437-3863
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