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1770511149
AMANDA M. WICKETT
LOGANSPORT, IN
NPI
1770511149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: IN 20042052A)
Enumeration Date
2006-06-28
Last Update Date
2007-07-08
Business Address
Dr. AMANDA M. WICKETT PsyD, H.S.P.P.
1807 SMITH ST
LOGANSPORT, IN 46947-1576
Phone number: 574-732-1414
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Mailing Address
Dr. AMANDA M. WICKETT PsyD, H.S.P.P.
1807 SMITH ST
LOGANSPORT, IN 46947-1576
Phone number: 574-732-1414
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