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1689127177
AUTUMN WICKERSHAM
PERRYSBURG, OH
NPI
1689127177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH 1500510)
Enumeration Date
2016-08-01
Last Update Date
2016-08-01
Business Address
-- AUTUMN WICKERSHAM L.P.C.
836 W SOUTH BOUNDARY ST
PERRYSBURG, OH 43551
Phone number: 419-874-3201
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Mailing Address
-- AUTUMN WICKERSHAM L.P.C.
26609 AMBERWOOD DR
PERRYSBURG, OH 43551
Phone number:
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