AUTUMN WICKERSHAM

PERRYSBURG, OH
NPI1689127177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  1500510)
Enumeration Date2016-08-01
Last Update Date2016-08-01
Business Address
-- AUTUMN WICKERSHAM L.P.C.
836 W SOUTH BOUNDARY ST
PERRYSBURG, OH 43551
Phone number: 419-874-3201
Mailing Address
-- AUTUMN WICKERSHAM L.P.C.
26609 AMBERWOOD DR
PERRYSBURG, OH 43551
Phone number: