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1740931856
EMILY WICKMAN
PORTLAND, CT
NPI
1740931856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 4680)
Enumeration Date
2022-01-11
Last Update Date
2022-01-11
Business Address
EMILY WICKMAN
22 BELLE VISTA HTS
PORTLAND, CT 06480-1672
Phone number: 860-997-6679
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Mailing Address
EMILY WICKMAN
22 BELLE VISTA HTS
PORTLAND, CT 06480-1672
Phone number:
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