DAVID WICKENS

WOOSTER, OH
NPI1700662566
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OH  APS.004411)
Enumeration Date2023-09-06
Last Update Date2023-09-06
Business Address
DAVID WICKENS
104 SPINK ST
WOOSTER, OH 44691-3652
Phone number: 330-264-8498
Mailing Address
DAVID WICKENS
104 SPINK ST
WOOSTER, OH 44691-3652
Phone number: 330-264-8498